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13658672 | Portable AP chest radiograph. The ETT has been advanced and now terminates 2 cm above the carina. NG tube tip is in the stomach. However, the side hole is above the GE junction. The right lower lung opacity described on prior radiograph is incompletely imaged, but still present. There is no pneumothorax. The cardiomediastinal silhouette is normal. | 51563675 | INDICATION: NG tube placement. COMPARISON: ___. | NGT tip is in the stomach, but sidehole is above the GE junction. Recommend advancement. This was discussed with Dr. ___ by phone at 1:57 p.m. on ___. Persistant right lower lobe consolidation. |
13658672 | Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The previously seen small left apical pneumothorax, right base consolidation and small right pleural effusion have resolved in the interval. | 53181643 | HISTORY: Epilepsy with concern for aspiration. TECHNIQUE: AP upright portable views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13658672 | AP single view of the chest has been obtained aiming at upper abdominal area. A Dobbhoff line is identified and has reached well below the diaphragm, directing with its tip towards the expected area of the pylorus. No other significant abnormalities are identified. | 51653819 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient with intractable seizures, now post-ictal. Requires Dobbhoff for seizure medications, check Dobbhoff placement. | Appropriate placement of Dobbhoff line terminating in distal stomach. |
13658672 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear normal. The bony structures are intact. No free air below the right hemidiaphragm. | 51510464 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest radiograph from ___ as well as a chest CT from ___. CLINICAL HISTORY: Seizure activity with concern for aspiration or pneumonia. | No acute findings in the chest. |
13658672 | Single portable view of the chest. There is left lower lobe consolidation. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormality detected. | 50000511 | HISTORY: ___-year-old male with seizure. COMPARISON: ___. | Left lower lobe atelectasis with component of aspiration or infection not excluded. |
13658672 | 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. Compared to ___, there is a new vagal nerve stimulator overlying the left chest. | 54844319 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with epilepsy presenting w/ intractable sz x 24 hrs - ongoing workup for underlying etiology such as infection // eval ? infiltrate TECHNIQUE: Upright portable AP chest radiograph COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13658672 | The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. | 55130254 | INDICATION: Seizure. Question infection. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___. | No evidence of acute disease. |
13078497 | There has been interval decrease in ground-glass opacity bilaterally compared to prior study of ___ at 4:22 p.m., which represents decrease in pulmonary edema. There has been interval decrease in observed cardiomegaly. There is bilateral small amount of pleural effusion. There are no areas of focal consolidations and no pneumothorax. The pleural surfaces are unremarkable. The endotracheal tube is no less than 6.2 cm from the carina, could be advanced 2 cm for optimal placement. | 58895837 | INDICATION: ___-year-old male with history of congestive heart failure, now status post CABG. COMPARISON: Semi-erect AP portable chest radiograph, ___. TECHNIQUE: Portable upright AP chest radiograph. | Interval reduction in pulmonary edema and cardiomegaly. ET tube can be advanced 2 cm for optimal placement. |
13078497 | The patient has a history of chronic interstitial lung disease with waxing and waning pulmonary edema and infection. Today it is largely unchanged with diffuse infiltrative and interstitial opacities stable since ___. Bilateral pleural effusion is essentially the same. Cardiomediastinal silhouette is stable and demonstrates mild cardiomegaly. There is no pneumothorax. Enteric tube is seen once again, entering the stomach and then out of field of view. Right-sided PICC terminates within the mid SVC. An endotracheal tube terminates no less than 6 cm from the carina. | 55575670 | INDICATION: ___-year-old male with history of chronic interstitial lung disease, now intubated. COMPARISON: Multiple chest radiographs dating back to ___, most recent ___, and CT chest ___. TECHNIQUE: Semi-upright portable AP chest radiograph. | Study is essentially unchanged from priors with unchanged diffuse infiltrative and interstitial opacities. |
13078497 | Frontal and lateral chest radiographs demonstrate minimal blunting of the bilateral costophrenic angles. There is no focal consolidation or pneumothorax. The heart size is moderately enlarged, and there are post-surgical changes of median sternotomy and CABG. There is an indistinct appearance of the pulmonary vasculature, consistent with mild-to-moderate pulmonary edema. | 51153042 | CLINICAL INFORMATION: ___-year-old male with shortness of breath, question pneumonia. COMPARISON: ___. | Mild-to-moderate pulmonary edema, without focal consolidation to suggest pneumonia. There may be small bilateral pleural effusions, with a small degree of bilateral atelectasis. The heart is moderately enlarged. |
13078497 | Right-sided pleural effusion is again seen largely unchanged. There is left-sided ground glass opacity which has slightly improved consistent with improving pulmonary edema. Endotracheal tube is seen in appropriate position, 6 cm from the carina. NG tube is seen entering the stomach and out of field of view. Incidental note of right lateral pleural calcification which is better seen on CT imaging. | 55206854 | INDICATION: ___-year-old male with bilateral pulmonary infiltrates, status post CABG. COMPARISON: Portable upright chest radiograph ___. TECHNIQUE: Semi-upright portable AP radiograph of the chest. | Improving pulmonary edema with unchanged bilateral pleural effusions. |
13078497 | There has been an increase in the bilateral pulmonary edema status post extubation as evidenced by increased dense opacification, which is now nearly confluent consistent with severe pulmonary edema. The cardiomediastinal silhouette is difficult to evaluate given intervening pulmonary edema opacity, however appears unchanged. There is no pneumothorax. There has been complete obscuration of the costophrenic angles suggestive of bilateral pleural effusions. Right IJ catheter is unchanged in position and ends in the upper SVC. Sternotomy wires are unchanged in position, aligned along the midline with no evidence of sternal dehiscence. | 50406925 | INDICATION: ___-year-old male, history of CHF and pneumonia, recently extubated, now desating. COMPARISON: AP semi-upright portable chest radiograph ___. TECHNIQUE: AP semi-upright portable chest radiograph. | Worsening, now severe, bilateral pulmonary edema. Supervening pneumonia can certainly not be excluded in the appropriate clinical setting. Interval removal of endotracheal tube. Cardiomediastinal silhouette stable. |
13845034 | There has been interval placement of a right Pleurx catheter with the tip at the right lung base with interval decrease in right pleural effusion and no evidence of pneumothorax. Associated right lung base opacity is unchanged. There has been interval increase of asymmetric left perihilar and basal opacities suggestive of asymmetric edema. Cardiac silhouette remains stable. | 55485518 | INDICATION: Recurrent right-sided pleural effusion status post Pleurx catheter placement. TECHNIQUE: Portable frontal chest radiograph. COMPARISON: ___. | Placement of right Pleurx catheter with interval decrease in right effusion without evidence of pneumothorax. Increased left perihilar and basal opacity suggestive of asymmetric edema. |
13845034 | The lungs are well expanded. The previously seen pulmonary edema has resolved since prior exam. Patchy opacities are seen in the lung bases, which likely represent atelectasis, but infection cannot be excluded. Scarring is seen in the left lung apex. There is a partially loculated small right pleural effusion, which is slightly improved in interval. There is a trace left pleural effusion, unchanged from prior exam. The cardiomediastinal silhouette is enlarged, unchanged from prior exam. The aorta is noted to be tortuous. There is a right-sided basilar chest tube in unchanged position from prior exam. Median sternotomy wires and CABG clips are noted in the chest. | 57703722 | HISTORY: History of CHF, now with dyspnea. COMPARISON: Comparison is made with chest radiograph from ___ and ___ and CT torso from ___. | No evidence of pulmonary edema. Bibasilar opacities, which likely represent atelectasis, but infection cannot be excluded. |
13845034 | Again visualized is a small-to-moderate right pleural effusion, relatively stable in comparison to prior chest CT from ___. Otherwise, the lungs are without evidence of focal consolidation or pneumothorax. Post-surgical changes are visualized with mediastinal clips and intact median sternotomy wires. Cardiomediastinal silhouette remains stable. Visualized osseous structures are grossly normal. | 58125331 | INDICATION: Evaluation of patient with chronic right pleural effusion, for interval change. COMPARISON: Chest CT from ___ and chest radiograph from ___. | Stable appearance of small-to-moderate right pleural effusion. |
13845034 | Cardiac silhouette is significantly and stably enlarged. Mediastinal contour is widened with prominent vasculature as seen on prior CT, distended azygos and main pulmonary arteries. There has been near complete resolution of the large right pleural effusion with trace remaining fluid. Left lung is clear. There is no pneumothorax. | 52087725 | HISTORY: Large right pleural effusion status post thoracentesis. COMPARISON: ___, chest CT ___. | Trace remnant right pleural fluid status post thoracentesis without evidence of pneumothorax. |
13845034 | There is a large right-sided pleural effusion, mildly increased. The patient is status post coronary artery bypass graft surgery and aortic valve replacement. Parenchymal opacity in the right lung could be explained as associated atelectasis. There is no clear evidence for parenchymal edema. The left lung remains clear, without left-sided pleural effusion, aside from streaky opacities suggesting mild fluid in the major fissure. | 54247068 | CHEST RADIOGRAPHS HISTORY: Shortness of breath with exertion. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | Increasing large right-sided pleural effusion. If the etiology is uncertain, then chest CT, preferably with intravenous contrast if feasible, is suggested when clinically appropriate to evaluate for the potential cause. |
13845034 | Moderate cardiomegaly with tortuous aorta is unchanged. Hilar contours are stable. A right Pleurx catheter remains in place at the cardiophrenic sulcus with small amount of remnant right effusion with a small loculated fissural component. However, there is a new finding of increased lucency at the right lung base concerning for basal pneumothorax. Right basal atelectasis has otherwise improved with increased aeration of both lungs. Previous mild interstitial edema has resolved. | 54171552 | INDICATION: Pleural effusion. COMPARISON: ___. TECHNIQUE: PA and lateral chest radiographs, two views. | Interval improvement of right diffusion with small amount of remnant fluid with improved aeration at bilateral lung bases. Increased lucency at the right lung base is worrisome for a right basal pneumothorax. Results were discussed over the telephone with Dr. ___ by ___ at 3:57 p.m. on ___ at time of initial review. |
13224214 | AP radiograph of the chest and two views of the right rib demonstrate no rib fractures, right shoulder fracture, or right humerus fracture. The cardiac and mediastinal contours are unchanged from the prior radiograph. There is blunting of the costophrenic angles bilaterally, indicating small bilateral pleural effusions, which are stable since the prior radiograph. No acute consolidation is appreciated. No pneumothorax is seen. | 58387916 | HISTORY: Right-sided chest pain with right shoulder pain going down the arm. Evaluate for rib fractures and shoulder fracture. COMPARISON: ___. | No rib, right shoulder, or right humerus fractures. Small bilateral pleural effusions which are unchanged. |
13224214 | The lungs are clear. There is no pneumothorax or pleural effusion. No focal consolidation is seen to suggest pneumonia. Haziness in the left lung base is likely scarring and chronic lung disease. Deformities of the left rib cage likely related to old rib fractures. Heart size is enlarged. Calcifications within the aortic arch are noted. | 55740535 | INDICATION: New cough and shortness of breath, assess for pneumonia. COMPARISON: Chest radiograph, ___. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
13224214 | An opacity is seen superior to the major fissure on the lateral view overlying the heart. It cannot clearly be identified on the frontal view and likely represents either a right middle lobe or lingula pneumonia. The cardiomediastinal silhouette is stable. There is no pleural effusion or pneumothorax. | 53167243 | HISTORY: Cough, severe URI symptoms question pneumonia. COMPARISON: ___ and ___. | Right middle lobe or lingula pneumonia, recommend followup radiograph after treatment to ensure resolution. |
13224214 | PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study ___ ___. The heart is mildly enlarged with a relative prominence of the left ventricular contour to the left and posteriorly, but no significant enlargement of the left atrium can be identified. The thoracic aorta is moderately widened and elongated with calcium deposits in the wall, mostly at the level of the arch. No local contour abnormality can be identified. The pulmonary vasculature is not congested, and there are no signs of acute parenchymal infiltrates. Comparison with the next previous study demonstrates unchanged appearance of the previously described left basal pleural and parenchymal densities, most likely representing scar formations as they are completely unchanged, and no new infiltrates can be identified. Previously noted patchy infiltrates on the right lung base occupying the posterior segment have now resolved. Thus, at the present time, there is no evidence of any acute infiltrate or significant congestion. Diffuse demineralization of the skeletal structures, as before, accentuated kyphotic curvature in the thoracic spine but no evidence of new vertebral body compression. | 59619257 | TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old female patient with cough since weekend, low oxygen saturation, evaluate for pneumonia. | Stable chest findings in elderly female patient, no evidence of new acute parenchymal infiltrates and no signs of advanced CHF. |
13224214 | Peribronchial opacification in the right middle lobe increased since ___, is pneumonia. Minor atelectatic changes are noted at the right lung base. Mild cardiomegaly and a very tortuous and generally large thoracic aorta, with heavy calcifications of the knob, are chronic. Old rib cage deformities are noted on the left. | 53848518 | INDICATION: Cough. COMPARISON: Multiple prior chest radiographs, the most recent from ___. | Mild right middle lobe pneumonia, worsened since ___. |
13224214 | PA and lateral views of the chest demonstrate small bilateral pleural effusions, stable since the most recent prior exam with bibasilar atelectasis. No focal consolidation concerning for pneumonia is identified. There is no pulmonary edema or pneumothorax. The bony structures appear intact. | 52506523 | HISTORY: ___-year-old female with unwitnessed fall, and dementia with change in mental status. COMPARISON: Comparison is made to radiographs of the chest from ___. | Small bilateral pleural effusions and bibasilar atelectasis, unchanged. No evidence of pneumonia. |
13973191 | Heart size is mildly enlarged. The aorta is tortuous. The mediastinal and hilar contours are unremarkable. Lungs are clear. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 53875581 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13620449 | In comparison to the chest radiograph obtained 1 day prior, mild pulmonary edema has increased the right-sided IJ central venous catheter has been removed. Moderate cardiomegaly is unchanged. Pleural effusions small, if any. Lungs are otherwise clear without focal consolidation. A single pacemaker/defibrillator lead is unchanged in position within the right ventricle. | 57475578 | EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with PMH anterior MI and recurrent VT presenting with sustained VT. // Please assess for pulmonary edema TECHNIQUE: Portable chest COMPARISON: Portable chest radiograph dated ___ | Increased, mild pulmonary edema. |
13620449 | The cardiac silhouette is stably enlarged. Again noted is mild central pulmonary vascular congestion. The previously seen right internal jugular sheath is no longer noted. There is no pneumothorax or definite pleural effusion. No consolidation is identified. Increased conspicuity of opacity is seen at the right lung base, which may represent atelectasis, though consolidation is not excluded. An AICD is in appropriate, unchanged position. | 50009377 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with CHF exacerbation // CVL positioning, e/o pulm edema or other acute process TECHNIQUE: Single portable AP view of the chest was obtained COMPARISON: ___, ___, and multiple images from ___ | Increased prominence of right basilar opacity may represent developing consolidation. |
13620449 | A left pectoral pacemaker/ defibrillator is in unchanged position. The cardiomediastinal and hilar contours are stable demonstrating mild cardiomegaly. There is mild to moderate pulmonary vascular congestion and interstitial pulmonary edema. Small pleural effusions. | 51587717 | INDICATION: History: ___M with hypoxia // eval heart and lungs TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior radiographs most recent on ___. | Congestive heart failure with moderate interstitial edema and small pleural effusions. |
13620449 | Left pectoral ICD with a single lead terminating in the right ventricle. Stable cardiomegaly. Pulmonary vessels appear less engorged, although this may simply reflect the differences between an upright PA film and a supine AP film instead of a true improvement in pulmonary vascular congestion. No evidence of pneumonia, pneumothorax, or pleural effusions. | 58662533 | EXAMINATION: Chest radiograph INDICATION: ___-year-old man with a history of decompensated CHF status post ICD placement. Evaluate for pulmonary edema. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs, most recent from ___. | Stable versus slightly decreased pulmonary vascular congestion. |
13620449 | A single-lead pacemaker terminates in the right ventricle, as before. The heart is moderately enlarged. The mediastinal and hilar contours appear stable. The lungs appear clear. There is no pleural effusion or pneumothorax. The right hemidiaphragm is mildly elevated compared to the left. The bones are probably demineralized. | 51096176 | CHEST RADIOGRAPHS HISTORY: Weakness and dizziness and head strike. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | Stable cardiomegaly. No evidence of acute cardiopulmonary disease. |
13620449 | As compared to the previous radiograph from ___, interval improvement in mild pulmonary edema. Moderate cardiomegaly persists. The single lead left pectoral pacemaker is in constant position. A hemodialysis catheter is placed in the right internal jugular vein. | 59037372 | INDICATION: ___ year old man with esrd, chf // any pulmonary edema | Interval improvement in mild pulmonary edema. |
13620449 | The patient is slightly rotated towards the right. There is no pleural effusion or pneumothorax. There is no pulmonary edema. Cardiac silhouette is top normal or mildly enlarged. 7-mm sclerotic left humeral head lesion could be compatible with a bone island. | 51046328 | PORTABLE AP CHEST X-RAY INDICATION: Patient with chronic heart failure, shortness of breath, found to have wide complex tachycardia, assess for pulmonary edema or pleural effusions. COMPARISON: None. | There is no evidence of pulmonary edema or pleural effusion. Cardiac silhouette is top normal or slightly enlarged. |
13880916 | The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. | 59469360 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Dehydration and bradycardia. Purging and anorexia. TECHNIQUE: Chest, PA and lateral. COMPARISON: ___. | No evidence of acute cardiopulmonary disease. |
13880916 | 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. Midline air filled structure projects over the cervical trachea, and may reflect a markedly distended esophagus with air-fluid level. | 57860636 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with weakness, poor po intake TECHNIQUE: Chest PA and lateral COMPARISON: Portable upright AP view of the chest | Midline air filled structure projecting over the trachea, potentially a dilated esophagus with air-fluid level. Lateral view of the chest is recommended for further assessment. Otherwise, no acute cardiopulmonary abnormality. |
13880916 | PA and lateral views of the chest provided. Lungs are clear. Pulmonary vasculature is normal. Heart size is normal. Again seen is an air-filled structure overlying the trachea, not well evaluated on this lateral view. | 53360233 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with h/o eating disorder admitted for bradycardia and hypotension. // Further assessment of midline air filled structure projecting over the trachea seen on portable CXR. COMPARISON: Radiograph from ___. | Incompletely assessed air-filled structure overlying the trachea. Lateral neck radiograph may be obtained if further investigation is warranted. |
13573246 | Patient is rotated to the left. The lungs are grossly clear. There is no consolidation or effusion. The cardiomediastinal silhouette is grossly within normal limits given patient's rotation. No acute osseous abnormalities identified. Hypertrophic changes noted in the thoracic spine. | 50940555 | INDICATION: ___F with dyspnea, fever // eval for PNA TECHNIQUE: AP and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13462261 | Single portable AP upright view of the chest was reviewed and compared to the prior. Diffuse opacity in the left lower lobe and a rounded opacity measuring 7 mm in the left lower lobe may represent atelectasis, however, ___ years ago on an abdominal CT, nodular opacity in the lingula and left lower lobe were present. Median sternotomy wires and multiple surgical clips projecting over the cardiac and mediastinal silhouettes is indicative of prior CABG. The fourth sternotomy wire is fractured on the left side, however, it is unchanged since ___ and there are no new breaks and alignment is maintained. A right-sided hemodialysis catheter ends in the lower superior vena cava. The heart and mediastinal contours are normal. There is no pleural effusion or pneumothorax. There is mild vascular congestion more prominent in the upper lungs. Linear radiolucencies in the right hemithorax correspond to skin folds. | 50130868 | WET READ: ___ ___ ___ 8:48 PM opacity in left lower lobe is concerning for pneumonia. Widened apperance of superior mediastinum may be due to position. Recommend PA/Lat for further evaluation. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: Increasing oxygen requirement. COMPARISON: Multiple chest radiographs, the most recent of ___. CT abdomen ___. | Linear opacity and 7 mm rounded opacity in the left lower lung may represent atelectasis but on abdominal CT performed ___ years ago nodular opacities were present in the lingula and left lower lobe. Chest CT is recommended to document stability of these opacities. Mild vascular congestion more prominent in the upper lungs. |
13462261 | Portable AP upright and lateral views of the chest were reviewed and compared to the prior study. Mild vascular congestion has improved. The previously described rounded opacity in the left lower lung is not visualized on this study; however, as mentioned on the prior study, opacities in the lingula and left lower lobe seen on abdominal CT performed two year prior need chest CT to document stability. The previously described left lower lobe linear opacity is relatively unchanged and most likely represents atelectasis. A right sided dialysis catheter is unchanged in position. Median sternotomy wires and surgical clips overlying the mediastinum and heart are consistent with prior CABG. Cardiac and mediastinal silhouettes are stable. There is no pneumothorax or pleural effusion. Linear opacities overlying the left hemithorax correspond to skin folds. | 51532863 | INDICATION: Evaluation for pneumonia in a patient with worsening respiratory status. COMPARISON: Chest radiograph ___. | Left lower lobe opacity most likely represents atelectasis. Improved mild vascular congestion. |
13462261 | A single portable AP chest radiograph was obtained. An endotracheal tube terminates appropriately 5 cm above the carina. The tip of a right internal jugular central line is in the low SVC. There is an EJ line in the right neck. An orogastric tube tip is in the stomach. Sternal wires and mediastinal clips reflect prior thoracic surgery. There has been a resection of the medial right clavicle. The lungs are well expanded. Central bronchovascular cuffing is more evident compared with the exam this AM. A well-circumscribed left lower lobe nodule was not clearly seen on the prior radiograph. This opacity is near, but not clearly associated with an anterior rib end. There is no focal consolidation, effusion, pneumothorax. There are no abnormal cardiac and mediastinal contours. | 53257725 | HISTORY: Intubated patient. COMPARISON: 5am this morning. | Support and monitoring devices in appropriate positions. Central bronchovascular cuffing may reflect mild pulmonary vascular congestion 1.6 cm left lower lobe nodule. A chest CT is necessary for evaluation, if not performed elsewhere. This finding was reported to Dr ___ ___ phone at ___ on ___. |
13462261 | Blunting of the lateral and posterior costophrenic angles suggests small pleural effusions. The lungs are clear of consolidation or overt pulmonary edema. The cardiomediastinal silhouette is within normal limits for technique. Median sternotomy wires and mediastinal clips are again noted. Irregular contour of the ribs on the right suggests prior healed fractures. There is also an old right mid clavicular fracture. | 50196761 | INDICATION: ___F with hypertension, cough and shortness of breath // Evidence of infiltrate TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Small bilateral pleural effusions. |
13249077 | A right-sided PICC is unchanged in appearance compared to the prior study. Lung volumes remain low, particular on the right. Assessment of the cardiomediastinal contour is consequently limited. There is prominence of the pulmonary vasculature, this appears slightly less extensive than on the prior study. Left basilar atelectasis is again noted. There has been perhaps slight interval improvement of the left lower lung. No pneumothorax seen. | 57085909 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man adm CHF exacerbation with progressive tachypnea on Lasix gtt, ? worsening pulm edema or PNA // pls eval for acute change TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | Findings consistent with mild congestive heart failure. No significant interval change when compared the prior study. |
13249077 | A right-sided PICC is in-situ, unchanged in appearance compared to the prior study. Precise localization of the tip is not possible as in the cardiomediastinal contour is obscured by right middle and lower lobe atelectasis. There is persistent prominence of the pulmonary vasculature consistent with mild congestive heart failure. No frank pulmonary edema. No pneumothorax seen. | 57789011 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man adm CHF exacerbation with progressive tachypnea on Lasix gtt, ? worsening pulm edema or PNA // eval for acute change TECHNIQUE: AP chest radiograph. COMPARISON: Chest radiograph ___ | No significant interval change when compared to the prior study. |
13249077 | The support devices are unchanged. There is persistent right middle and lower lobe collapse with adjacent moderate elevation of the right hemidiaphragm. Left retrocardiac opacity has minimally improved. The lung volumes remain low. No interstitial pulmonary edema. No pneumothorax. | 53147240 | INDICATION: ___ year old man with RLL collapse and continued dyspnea/hypoxia // Eval for interval challenge COMPARISON: ___ | Persistent right middle and left lower lobe collapse. |
13249077 | The support devices are unchanged. There is persistent right middle and lower lobe collapse with adjacent moderate elevation of the right hemidiaphragm. Left retrocardiac opacity has minimally improved. The lung volumes remain low. No pulmonary edema. No pneumothorax. | 58149051 | INDICATION: ___ year old man with CHF // progression of pulmonary edema? COMPARISON: ___ | No significant interval change. |
13077469 | Interstitial prominence is unchanged, likely due to vascular engorgement without overt pulmonary edema. There is no focal consolidation, pleural effusion or pneumothorax. The mediastinal contour is normal. The heart size is at the upper limits of normal. | 55121804 | INDICATION: Shortness of breath, nausea, and right upper quadrant pain. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained. | Stable interstitial prominence, likely chronic vascular congestion. No acute cardiopulmonary process. |
13077469 | The lung volumes are low. This accentuates the appearance of the cardiomediastinal silhouette, which otherwise appears within normal limits. Streaky opacities at the bilateral lung bases, greater on the left than the right, most likely represents atelectasis in the setting of low lung volumes. There is no focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is detected. The visualized upper abdomen is relatively gasless. No acute osseous abnormality is detected. | 52845266 | INDICATION: Cough for the past three days, here to evaluate for pneumonia. COMPARISON: No prior studies available. TECHNIQUE: Upright PA and lateral radiographs of the chest. | No focal consolidation concerning for pneumonia. Low lung volumes with bibasilar atelectasis. |
13077469 | PA and lateral views of the chest were provided. Mild cardiomegaly is stable with mild pulmonary edema. No large effusion or pneumothorax. Mediastinal contour is stable. Bony structures are intact. | 58985369 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: Prior exam from ___. CLINICAL HISTORY: Chills, question pneumonia. | Stable cardiomegaly with mild pulmonary edema. |
13077469 | The lungs are clear. There is no focal consolidation,, effusion, or pneumothorax. The trachea is deviated to the left just above the thoracic inlet. There is left paraspinal density inferiorly on the frontal view in the retrocardiac region compatible with lateral osteophytes from the spine confirmed on prior CT. No acute osseous abnormalities. | 50625673 | WET READ: ___ ___ ___ 1:35 PM No acute cardiopulmonary process. Deviation of the trachea to the left at the thoracic inlet. This could be due to right-sided thyroid enlargement. Nonurgent thyroid ultrasound is suggested. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with dyspnea // r/o acute process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest x-ray and ___. | No acute cardiopulmonary process. Deviation of the trachea to the left at the thoracic inlet. This could be due to right-sided thyroid enlargement. Nonurgent thyroid ultrasound is suggested. |
13710047 | Frontal view of the chest demonstrates low lung volumes. There is mild elevation of the right hemidiaphragm. Heart is mildly enlarged. No pleural effusion is seen. There is no pneumothorax. Hilar and mediastinal silhouettes are unremarkable. There is mild pulmonary edema. No vascular congestion. A Port-A-Cath tip projects over cavoatrial junction. | 53526554 | INDICATION: Patient with fever. Assess for pneumonia. COMPARISONS: ___. | Mild cardiomegaly and mild perihilar vascular congestion. |
13710047 | PA and lateral views of the chest provided. Port-A-Cath resides over the right chest wall with catheter tip extending to the level of the mid to low SVC. There is vague patchy opacity in the left mid lung which is concerning for an early pneumonia. Otherwise, the lungs appear essentially clear. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette appears within normal limits. Bony structures are intact. | 55229462 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Post-chemotherapy fever, assess pneumonia. | Vague left mid lung opacity likely represents early pneumonia. |
13118281 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Hilar contours are stable. | 56313356 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with wheezing and sob // r/o pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13118281 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 56401192 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with c/o cough with SOB // ? PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13426119 | Compared with the prior radiograph, the known right-sided postoperative pneumothorax has decreased in size, but still present, as no pleural markings are identified in the right upper lobe. Postoperative changes of the right chest wall are unchanged. No new focal consolidation or pleural effusions. | 51431992 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with SOB RUL lobectomy assess for collapsed lung. SOB please assess for collapsed lung. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, and ___. | Smaller right-sided postoperative pneumothorax and unchanged right thoracotomy sites. |
13863487 | AP view of the chest. Bulging of the mediastinal contours and enlarged hila bilaterally are consistent with known lymphadenopathy. There is no evidence of pneumothorax. No pleural effusion. No focal consolidation. Bibasilar atelectasis. Heart size is normal. | 53938339 | INDICATION: Status post mediastinoscopy, evaluate for pneumothorax. COMPARISON: ___. | Evidence of known mediastinal lymphadenopathy. No acute process. No pneumothorax. Bibasilar atelectasis. |
13211934 | Mild cardiomegaly and aortic knob calcifications are unchanged. Mild vascular congestion. Linear opacities in the bilateral lower lobes are unchanged over multiple prior studies. There is no consolidation, pneumothorax or pleural effusion. | 56403558 | CLINICAL INDICATION: Tachycardia. Evaluate for pneumonia. COMPARISON: Chest radiograph ___. SINGLE FRONTAL VIEW OF THE | Mild vascular congestion. No focal opacity concerning for pneumonia. |
13747567 | The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart is normal size. The mediastinal and hilar contours are unremarkable. | 50118415 | INDICATION: Fever. Evaluate for pneumonia. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13747567 | Lungs are fully expanded and clear. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no acute osseous abnormality. | 54035765 | EXAMINATION: Chest radiograph. INDICATION: ___F with 1 week of cough, malaise. Lung exam with ronchi in left lower lobe. TECHNIQUE: AP and lateral view of the chest. COMPARISON: Comparison is made to chest radiograph ___. | No radiographic evidence of pneumonia. |
13117388 | Per the radiology technologist, the patient was unable to move left arm out of the way on the lateral view because of shoulder pain, thus making the evaluation of the lateral view is suboptimal. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen in the chest. | 52936543 | HISTORY: Left shoulder pain. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | Suboptimal lateral view due to patient's overlying arm. Otherwise, no acute cardiopulmonary process. |
13117388 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Lung fields appear mildly hyperinflated, consistent with known smoking history. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 58522777 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with 3 mm nodule seen on Abd CT done ___, some smoking hx // r/o abnormality COMPARISON: Chest radiograph dated ___. | No acute intrathoracic process. |
13522390 | Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is identified. | 58223900 | HISTORY: Back pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
13626213 | Heart is upper limits of normal in size. Mediastinal and hilar contours are normal. Lungs and pleural surfaces are clear. Lateral radiograph is limited by suboptimal positioning of the patient's arms, resulting in obscuration of the normally clear retrosternal space. If warranted clinically, this view could be repeated at no additional charge. | 52447390 | WET READ: ___ ___ ___ 8:25 PM No acute cardiopulmonary process. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT PA AND LATERAL CHEST, ___ No prior radiographs for comparison. | Technically limited chest radiograph demonstrating no acute cardiopulmonary radiographic abnormality. |
13626213 | There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. | 54954301 | EXAMINATION: Chest radiograph. INDICATION: History: ___F presenting with fevers, diffuse myalgias, right sided upper back pain. // PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___. | No evidence of acute cardiopulmonary process. |
13342866 | There is bibasilar atelectasis. Otherwise, there is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. A LINQ cardiac monitoring device projects over the subcutaneous tissue of the left lower chest. | 59782098 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___F with shortness of breath. Evaluate for pneumonia. TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13342866 | The patient is rotated to the right. The lungs are hyperinflated. There is right costophrenic angle opacity which may be due to atelectasis, pleural effusion, pulmonary contusion not excluded given overlying rib fractures. There are multiple right-sided rib fractures including the right lateral fourth through of seventh and possibly eighth rib. Possible nondisplaced left-sided rib fractures involving the anterolateral left fourth and sixth ribs and possibly the fifth rib. No definite pneumothorax identified. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. | 54707305 | WET READ: ___ ___ ___ 9:44 PM Bilateral rib fractures, right fourth through seventh and possibly eighth on the right and fourth and sixth and possibly fifth on the left. Lateral right base opacity could be due to pulmonary contusion given overlying rib fractures and/ or small pleural effusion. *** ED URGENT ATTENTION *** WET READ VERSION #1 ___ ___ ___ 9:42 PM Right-sided rib fractures involving at least the lateral right fourth through seventh ribs and possibly the right eighth rib. Lateral right base opacity could be due to pulmonary contusion given overlying rib fractures and/ or small pleural effusion. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with fall, bil chest pain // eval for PTX TECHNIQUE: Single frontal view of the chest COMPARISON: None | Right-sided rib fractures involving at least the lateral right fourth through seventh ribs and possibly the eighth rib. Lateral right base opacity could be due to pulmonary contusion given overlying rib fractures and/ or pleural effusion. |
13419676 | There has been interval removal of an endotracheal and enteric tube. Lung volumes are unchanged and accentuate the transverse heart size. There are mild atelectatic changes at the base of the left lung, obscuring the left hemidiaphragm. No pneumonia or congestion is identified. | 59626417 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with choking s/p cardiac arrest, now with fever. R/o aspiration pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Portable chest x-ray from ___. | No aspiration pneumonia is identified. Interval removal of endotracheal tube and enteric tube. |
13419676 | Endotracheal tube is in standard position terminating approximately 3 cm from the carina. An enteric tube courses below the left hemidiaphragm, into the stomach, with tip off the inferior borders of the film. Lung volumes are low. Heart size is top normal, accentuated by the low inspiratory lung volumes. Mediastinal and hilar contours are unremarkable. Bronchovascular crowding is demonstrated without pulmonary edema. Patchy opacities are noted in the lung bases which may reflect areas of atelectasis though aspiration cannot be excluded. There may be a trace left pleural effusion. No pneumothorax is identified. No acute osseous abnormalities detected. | 53711260 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with intubated transfer status post hotdog aspiration TECHNIQUE: Semi-upright AP view of the chest COMPARISON: None. Patient is currently listed as EU critical. | Standard positioning of the endotracheal and enteric tubes. Low lung volumes with patchy bibasilar opacities, possibly atelectasis or aspiration. |
13952511 | A pacemaker/ICD device appears unchanged. A PICC line has been retracted and now terminates over the right brachiocephalic vein, probably at the point where it separates into subclavian and right internal jugular veins. There are patchy opacities at both lung bases most compatible with atelectasis, noting low lung volumes. Streaky right basilar atelectasis persists. Mild increased interstitial opacification and perihilar fullness suggest mild vascular congestion. There is no definite pleural effusion, although the left lateral lower chest is obscured by the pacemaker device, making one difficult to exclude. | 54741230 | CHEST RADIOGRAPHS HISTORY: Shortness of breath and wheezing. COMPARISONS: Radiographs from ___ as well as PICC placement report from ___. TECHNIQUE: Chest, AP upright and lateral. | Findings suggesting mild vascular congestion and bibasilar atelectasis. Interval retraction of right-sided PICC line, now terminating likely at the confluence of the right subclavian and internal jugular veins. |
13952511 | There are low lung volumes, with unchanged cardiomegaly. There is increased pulmonary vascular engorgement and interstitial markings in comparison with ___, consistent with mild pulmonary edema. A right upper extremity PICC is unchanged in position with its tip in the lower SVC. A left axillary AICD is unchanged in appearance, with standard positioning of an atrial and two ventricular leads. A small amount of left peripheral left lung opacity is noted, likely reflecting atelectasis. There is no large pleural effusion or pneumothorax. | 59491117 | HISTORY: ___-year-old female with congestive heart failure with an EF of ___%, admitted for shortness of breath with cough and low-grade temperatures, rule out pneumonia. COMPARISON: ___. | Right upper extremity picc unchanged in location in the lower svc. Interval increase in pulmonary vascular engorgement and mild interstitial edema. Moderate cardiomegaly is unchanged. |
13952511 | In comparison with the study of ___, there has been some decrease in the degree of pulmonary vascular congestion. Continued enlargement of the cardiac silhouette with dual-channel pacemaker device in place. The right subclavian lead is in unchanged position. | 57442822 | HISTORY: Atrial fibrillation, to assess for pulmonary edema. | Some improvement in pulmonary vascular status. |
13330114 | A subtle opacity seen at the right lung base. There is mild enlargement of the pulmonary arteries. There is no evidence pneumothorax. The heart size is normal. The hilar and mediastinal contours are otherwise unremarkable. The visualized osseous structures are unremarkable. | 54547258 | INDICATION: History: ___M with concern for stroke // evidence of infection TECHNIQUE: Portable upright radiograph of the chest. COMPARISON: None. | Subtle opacity at the right lung base concerning for an infectious process. |
13135830 | Left lower lobe opacity seen best on the frontal view is worrisome for pneumonia. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. Coronary artery stenting is noted. | 51592556 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough, fever // PNA? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Findings worrisome for left lower lobe pneumonia. |
13526418 | Portable trauma radiograph of the chest. The patient is on a trauma board, which obscures fine bony detail. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. No displaced fracture is seen. | 57122389 | HISTORY: Motor vehicle collision. COMPARISON: None available. | No acute cardiopulmonary process. |
13730084 | The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax. | 54440219 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with right sided cp worse with inspiration and movement. pain radiates around to upper back. Evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
13150846 | The lungs are hyperinflated but clear of consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. Descending thoracic aorta is tortuous and atherosclerotic calcifications are noted at the arch. Hypertrophic changes of the spine. Moderate hiatal hernia is visualized. | 51926030 | INDICATION: ___M with COPD, ___ wk exacerbation, afebrile, new anemia // evaluate for COPD exacerbation vs PNA vs effusion TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13158454 | Frontal and lateral views of the chest were obtained. No radiopaque foreign body is seen. There are slightly low lung volumes. Eventration of the right hemidiaphragm is again seen. There is mild right basilar atelectasis, less apparent as compared to the prior study. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is slightly tortuous. The cardiac silhouette is not enlarged. | 58359091 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Swallowed foreign body. COMPARISON: ___. | No radiopaque foreign body seen. Mild basilar atelectasis. |
13158454 | A right-sided PICC line has been removed. The cardiac, mediastinal and hilar contours appear unchanged. The heart is normal in size. As before, there is mild relative elevation of the right hemidiaphragm. An unchanged band-like opacity in the lingula suggests minor scarring. There is a new posterior opacity in the right lower lobe silhouetting the hemidiaphragm with a small suspected pleural effusion. A trace pleural effusion is suspected on the left side. There is no pneumothorax. Bony structures are unremarkable. | 55238659 | CHEST RADIOGRAPHS HISTORY: Shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | New right lower lobe opacity worrisome for pneumonia in the appropriate setting with a small associated pleural effusion although substantial atelectasis could also be considered. |
13158454 | There is mild right base base atelectasis. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Right paratracheal opacity without indentation on the adjacent trachea is stable, possibly prominent vasculature. | 58904908 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with ___ days of headache, altered MS // R/o pneumoniaR/o hemorrhage TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13158454 | Heart appears to be mildly enlarged. Cardiomediastinal contours are unremarkable. Again, blunting of the right costophrenic angle is noted along with elevation of the right hemidiaphragm. This could be due to atelectasis or in the proper clinical context could represent underlying pneumonia; however, the degree of opacification has not significantly changed from the prior study. No pneumothorax. Bony structures appear to be intact. | 54931555 | INDICATION: ___-year-old lady with CKD, CHF, CAD, presenting with right upper quadrant/right chest/right flank pain, radiographic signs of pneumonia? COMPARISON: Chest radiograph dated ___. TECHNIQUE: PA and lateral chest radiographs. | The right lower lobe opacity which probably represents a small amount of pleural effusion with an overlying atelectasis or possibly pneumonia in the right clinical context, has not significantly changed since the prior exam. |
13158454 | Heart size is top normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Streaky opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 50332792 | HISTORY: History of congestive heart failure and pulmonary embolism in ___ with cough. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___. | Bibasilar streaky opacities, likely atelectasis. |
13158454 | Lung volumes are low. Bibasilar predominantly linear opacities most likely represent atelectasis, but pneumonia is a possibility; right middle lobe consolidation also may represent atelectasis or pneumonia. No pneumothorax or pleural effusion is seen. Heart and mediastinal contours appear stable. Minimally increased interstitial prominence may reflect very mild edema. | 57818612 | INDICATION: ___-year-old female with diffuse extremity swelling. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | Low lung volumes with bibasilar opacities, which could represent atelectasis or pneumonia. Minimal increase in interstitial prominence compared to prior, which may reflect acquisition technique or very mild edema. Findings discussed with Dr. ___ by Dr. ___ by telephone at 2:25 p.m. on ___. |
13158454 | Frontal and lateral views of the chest were obtained. There are low lung volumes that accentuate the bronchovascular markings. Given this, there appears to be mild-to-moderate pulmonary vascular congestion. Very mild vascular congestion. There is mild right basilar atelectasis. No large pleural effusions are seen. The cardiac and mediastinal silhouettes are stable. There is compression deformity in the upper lumbar spine, not well assessed, but also seen on the prior study. | 59361244 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: CHF and worsening lower extremity edema and hyponatremia. COMPARISON: ___. | Low lung volumes which accentuate the bronchovascular markings. Given this, there may be pulmonary vascular congestion. Bibasilar atelectasis. |
13005302 | Lung volumes are low, but lungs are clear. Cardiomediastinal silhouette is normal configuration, but otherwise unremarkable. There are no pleural effusions or pneumothoraces. Bones are intact. | 53252441 | CLINICAL HISTORY: ___-year-old woman with chest tightness. COMPARISON: None. | No evidence of acute intrathoracic process. |
13171756 | PA and lateral views of the chest are provided. Lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. The imaged osseous structures are intact. Anterior osteophytes are seen in the lower thoracic spine. No free air below the right hemidiaphragm. | 50332957 | CHEST RADIOGRAPH PERFORMED ON ___. Comparison made with prior study from ___. CLINICAL HISTORY: Shortness of breath and hypertension, assess for pneumonia. | No acute findings in the chest. |
13171756 | 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. Anterior flowing osteophytes within the mid and lower thoracic spine are compatible with DISH. | 59583996 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with shortness of breath // eval pna TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13171756 | The cardiac, mediastinal, and hilar contours appear unchanged. The aortic arch is partly calcified. There is no pleural effusion or pneumothorax. The lungs appear clear. Moderate anterior osteophytes are noted along the thoracic spine. Mild pectus excavatum is present. | 52956172 | CHEST RADIOGRAPHS HISTORY: Lightheadedness. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13171756 | The heart size is normal. Mediastinal and hilar contours are unchanged. Mild atherosclerotic calcification of the aortic knob is demonstrated. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. Anterior osteophytes are again demonstrated within the mid and lower thoracic spine. | 53809429 | HISTORY: Generalized weakness. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
13194187 | Moderate enlargement of the cardiac silhouette persists. The aortic knob remains calcified. The cardiac and mediastinal silhouettes are stable. Mild pulmonary vascular congestion is again seen, possibly minimally improved. The left base atelectasis is noted. Small left effusion is noted. No evidence of pneumothorax. | 50027820 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with dyspnea, cough // eval CHF, infiltrate TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ | Small left pleural effusion. Mild pulmonary vascular congestion again seen, possibly minimally improved. Persistent moderate enlargement of the cardiac silhouette. |
13194187 | Interval removal of left PICC. Stable, severe cardiomegaly. Normal mediastinal and hilar contours. Left lower lobe consolidation may reflect atelectasis or pneumonia. Likely improved left pleural effusion. | 56957381 | EXAMINATION: Chest radiograph INDICATION: ___-year-old man with a history of CHF, now with decreased breath sounds at the right base. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs, most recent from ___. | Likely improved left pleural effusion. Left lower lobe consolidation may reflect atelectasis or pneumonia. |
13194187 | Moderate cardiomegaly has been stable compared to the prior exam from ___. Mild pulmonary venous congestion is seen without overt pulmonary edema. The hilar and mediastinal contours are otherwise unremarkable. Mild bibasilar atelectasis is persistent. There may be a small left pleural effusion. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable. | 57199070 | INDICATION: History: ___M with hx chf with sob // eval effusion, edema, pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated back to ___. | Mild pulmonary vascular congestion. Persistent mild bibasilar atelectasis. |
13194187 | Severe cardiomegaly is again noted, which appears slightly increased due to slightly decreased lung volumes. The aorta remains tortuous and diffusely calcified. There is mild pulmonary edema with small bilateral pleural effusions, slightly increased compared to the prior study. No pneumothorax is identified, and there are multilevel degenerative changes in the thoracic spine. | 52260709 | HISTORY: New onset atrial fibrillation and weakness. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | Mild congestive heart failure with small bilateral pleural effusions. |
13194187 | The heart is moderately enlarged. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. There is persistent posterior density in the left lower lobe, although decreased, suggesting improvement in atelectasis and pleural effusions although very small pleural effusions may persist. Upper zone redistribution of pulmonary vascularity suggests pulmonary venous hypertension, but without frank congestive heart failure on this study, which has improved. | 54601735 | CHEST RADIOGRAPHS: HISTORY: Chest pain and cough. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | Improving patchy retrocardiac opacity and pleural effusions. Marked decrease in pulmonary vascular congestion with findings suggesting only pulmonary venous hypertension. |
13194187 | Cardiac silhouette is enlarged and is accompanied by mild pulmonary vascular congestion. Linear opacities at the lung bases are suggestive of linear atelectasis and/or scarring. On the lateral view, a slightly more focal opacity is present in the left lower lobe, partially obscuring the posterior left hemidiaphragm in the region of the lower thoracic spine. Probable very small bilateral pleural effusions. | 51044530 | PA AND LATERAL CHEST, ___ COMPARISON: ___ chest radiograph. | Cardiomegaly and mild pulmonary vascular congestion. Focal left lower lobe opacity, which may be due to either atelectasis or focal pneumonia. |
13194187 | Severe cardiomegaly is re- demonstrated. The aortic arch is calcified. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion is demonstrated with upper zone vascular redistribution. Small left pleural effusion is likely present. Patchy bibasilar opacities may reflect atelectasis. No focal consolidation or pneumothorax is identified. Multilevel degenerative changes are again seen in the thoracic spine. | 57267123 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with dyspnea. History of aortic stenosis, congestive heart failure, atrial fibrillation TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Mild pulmonary vascular congestion and probable small left pleural effusion. Bibasilar atelectasis. |
13194187 | When compared to prior, there has been no significant interval change. Moderate cardiomegaly is again noted with atherosclerotic calcifications of the aortic arch. Pulmonary vascular congestion is again noted. Persistent blunting of posterior costophrenic angle is suggest small left effusion. No acute osseous abnormalities identified. | 59775193 | INDICATION: ___M with sob // r/o pna TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Cardiomegaly with pulmonary vascular congestion and small left effusion. |
13194187 | PA and lateral views of the chest are provided. The heart is moderately enlarged. There is mild pulmonary edema. Small right pleural effusion is present. No pneumothorax. Bony structures are intact. No free air is seen below the right hemidiaphragm. | 57149188 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest radiograph from ___. CLINICAL HISTORY: ___-year-old man with history of coronary artery disease, congestive heart failure and atrial fibrillation, presents with intermittent chest discomfort. | Pulmonary edema, small right effusion and cardiomegaly. |
13236317 | There is no evidence of focal consolidation, pleural effusion, pneumothorax, or overt pulmonary edema. The heart size is top normal. The mediastinum is stable. No acute bony abnormality is detected. | 57770948 | HISTORY: Cough, evaluate for pneumonia. TECHNIQUE: Frontal and lateral chest radiographs. COMPARISON: Comparison is made to chest radiographs dated ___. | No acute cardiopulmonary process. |
13674338 | Two views of the chest. The lungs are well expanded with bilateral basal left greater than right linear opacities consistent with bronchial wall thickening and bronchiectasis seen on the prior CT, likely reflecting chronic/recurrent aspiration. Left mid lung nodule is better depicted on the prior CT from ___. Heart and mediastinal contours are unremarkable with post-CABG changes noted. | 55002040 | INDICATION: Ventricular ectopy, on amiodarone, assess for toxicity. COMPARISON: ___. | No acute intrathoracic process or finding to suggest amiodarone toxicity. Basal linear opacities are consistent with bronchiectasis suggesting recurrent aspiration. Left mid lung nodule, better seen on prior CT which previously recommended followup CT evaluation in ___. |
13674338 | In comparison to chest radiographs obtained ___ year prior, no significant changes are appreciated. Left mid lung nodule projecting over the posterior sixth rib is unchanged. The lungs are otherwise fully expanded and clear. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal. | 50424877 | EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old man on amiodarone // Looking for pulmonary toxicity TECHNIQUE: Chest PA and lateral COMPARISON: PA and lateral chest radiographs dated ___ | No significant cardiopulmonary abnormalities to suggest amiodarone pulmonary toxicity. |
13762124 | A right internal jugular central venous catheter is advanced from the prior study with the tip now terminating at the level of the cavoatrial junction. Anterior cervical spine fixation hardware is unchanged. Multiple coronary arterial stents are redemonstrated. There are increased bilateral lung opacities most pronounced at the bilateral lung bases from the most recent prior study. There is increased mild pulmonary vascular congestion. No pneumothorax is present. The cardiac silhouette is incompletely evaluated due to bibasilar opacities. The mediastinal and hilar contours are stable. | 57037511 | INDICATION: Pneumonia and congestive heart failure, here to evaluate for interval change. COMPARISON: Chest radiograph performed on ___. TECHNIQUE: Portable upright frontal radiograph of the chest. | Increased bilateral opacities most consistent with ARDS although a component of pulmonary edema and/or superimposed infection is not excluded. Increased mild pulmonary vascular congestion from ___. Interval advancement of right IJ catheter with tip at the cavoatrial junction. |
13762124 | Right jugular Swan-Ganz catheter head ends in right pulmonary artery. ET tube ends at 5 cm from carina. The sidehole of the NG tube is in mid gastric cavity. Moderate-to-severe pulmonary edema is unchanged since prior chest x-ray, although there is minimal improvement of lung bases ventilation for reduced bibasilar atelectasis and pleural effusion. Cardiomediastinal silhouette is unchanged. There is no pneumothorax. | 53107564 | PATIENT HISTORY: ___ years old woman with congestive heart failure, arrhythmia, pneumonia, respiratory failure and intubated, assessment for interval changes. COMPARISON: Exam is compared to chest x-ray of ___. | Minimal improvement of lung base ventilation, but persistent moderate pulmonary edema. |
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