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13978244 | The cardiomediastinal silhouette is stable. The lungs are symmetrically expanded. Slightly increased opacity at the right base may represent atelectasis; however developing pneumonia cannot be excluded. There is no pleural effusion or pneumothorax. | 56886005 | INDICATION: ___F with cough TECHNIQUE: AP upright and lateral views of the chest COMPARISON: ___ | Slightly increased opacity at the right base may represent atelectasis ;however early consolidation cannot be excluded. Clinical correlation is advised. |
13978244 | Lungs are well expanded. Blunting of the right costophrenic angle is unchanged and may reflect chronic pleural thickening. Retrocardiac opacity is likely due to Bochdalek hernia on previous CT. Cardiomediastinal silhouette is otherwise unremarkable. | 55719726 | INDICATION: ___-year-old woman with hypoxia. COMPARISONS: Chest radiograph, ___. | Retrocardiac opacity is likely due to atelectasis and posterior pleural fat/small Bochdalek hernia seen on CT of the chest from ___. Please see subsequently obtained CTA chest for further details. |
13978244 | Semi-upright portable AP view of the chest was obtained. Mild elevation of the right hemidiaphragm is unchanged. The heart is grossly within normal limits and stable in size. There is no definite pleural effusion or focal consolidation. Mediastinal contour is stable. No pneumothorax. Bony structures appear intact. | 55980966 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison with a prior chest radiograph from ___ as well as CTA chest from ___. CLINICAL HISTORY: Hypoxia, down to ___%, question pneumonia. | Grossly stable exam with no acute intrathoracic process. |
13978244 | PA and lateral chest radiographs again demonstrate compression fractures involving the T5 and T8 vertebral bodies. Of note, the T8 vertebral has worsened compared to ___. The lung volumes are low with probable bibasilar atelectasis, particularly along the right heart border, where there is some increase in conjunction with reduced lung volumes. There is no focal consolidation or pleural effusion. The heart size is normal. | 56696460 | INDICATION: Left lower lobe crackles. Evaluation for pneumonia or pulmonary edema. COMPARISONS: CT chest ___ and ___. | No definite pneumonia; suspected atelectasis in the right infrahilar region, perhaps somewhat increased in association with reduced lung volumes. Worsening T8 compression fracture compared to ___. |
13282921 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes are low but the lungs are clear. No pleural effusion or pneumothorax is seen. | 56135171 | FINAL ADDENDUM Addendum: Additional information has been obtained from ___ Clinical Lookup since the approval of the original report. Reason for exam should also state chest pain. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with probable pericarditis // acute process? TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13989680 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. Mediastinal contours are grossly stable. No pulmonary edema is seen. | 55889722 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain and cough pls eval pna or effusion *** WARNING *** Multiple patients with same last name! // History: ___F with chest pain and cough pls eval pna or effusion TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Cardiomegaly. No pulmonary edema. No definite focal consolidation to suggest pneumonia. |
13989680 | Mild cardiomegaly is re- demonstrated. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Mild degenerative changes are noted in the thoracic spine. | 57800172 | HISTORY: Dyspnea. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
13989680 | The lungs are well expanded and clear. Moderate cardiomegaly is unchanged since ___. The mediastinum and hila are normal. Borderline vascular redistribution is new. There is no pleural effusion or pneumothorax. | 57647935 | HISTORY: Intermittent cough x7 months. Rule out infiltrate/mass. TECHNIQUE: Upright AP and lateral radiographs of the chest. COMPARISON: Chest radiograph ___ and ___. | Moderate cardiomegaly is unchanged since ___ and borderline vascular redistribution is new. |
13220452 | A left-sided chest wall pulse generator is present, with leads terminating in the right atrium and right ventricle. There is no evidence of lead fracture or abandoned leads. Lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace consolidation. Partially visualized extensive posterior fusion hardware is noted in the spine, as well as prior kyphoplasty material in the lower thoracic spine. Cholecystectomy clips are present in the right upper quadrant. | 57486032 | EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___F with pacemaker // eval pacemaker TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
13476745 | The known right upper lobe nodule with surrounding postprocedural changes is re demonstrated. A new opacity that projects over the right heart border on the frontal radiograph, and spine on the lateral radiograph is likely due to right lower lobe subsegmental atelectasis. New minimal left basilar subsegmental atelectasis is present. The moderate right pneumothorax is slightly decreased. The heart and mediastinum are within normal limits. | 52902009 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with PTX // ?enlarging TECHNIQUE: PA and lateral radiographs of the chest. COMPARISON: ___ and dating back to ___. | Slightly decreased moderate right pneumothorax. New right lower lobe subsegmental atelectasis and minimal left basilar subsegmental atelectasis. Stable appearance of right upper lobe nodule with surrounding post-procedural changes. |
13476745 | There is a small right apical pneumothorax. There is no mediastinal shift. There is no pleural effusion. Pars right basilar atelectasis. The cardiomediastinal silhouette 1 pulmonary vasculature, and aorta are within normal limits. Mild opacity in the right mid-upper lung with is consistent with biopsy site. | 52319627 | EXAMINATION: Two view chest radiograph INDICATION: ___ year old woman post lung biopsy. // Evaluate for acute process. TECHNIQUE: Upright PA and lateral chest radiographs were obtained. COMPARISON: Frontal chest radiograph ___. | Small right apical pneumothorax. |
13939464 | There is diffuse increased interstitial-pattern bilaterally. There is no lobar consolidation. There is no pneumothorax or pleural effusion. The heart size is top normal. | 50679388 | WET READ: ___ ___ ___ 10:24 AM Diffuse interstitial opacity may represent mild pulmonary edema. Atypical pneumonia in the appropriate clinical setting is not entirely excluded. WET READ VERSION #1 WET READ VERSION #2 ___ ___ ___ 9:54 AM Diffuse bilateral miliary opacity is suggestive of atypical pneumonia in the appropriate clinical setting. Less likely, mild interstitial edema. ______________________________________________________________________________ FINAL REPORT INDICATION: Syncope. COMPARISON: None available. PA AND LATERAL VIEWS OF THE | Diffuse interstitial opacity may represent mild pulmonary edema or chronic changes. Atypical pneumonia in the appropriate setting is not entirely excluded. |
13939464 | Single frontal view of the chest was obtained. Increased interstitial markings bilaterally in areas of the chest most likely relates to underlying chronic lung disease, COPD. No definite new focal consolidation is seen. There is slight blunting of the costophrenic angles likely due to hyperinflated lungs, similar to prior without large pleural effusion seen. There is no evidence of pneumothorax. The cardiac silhouette is top normal. The aorta is calcified and tortuous. Mild prominence in the region of the main pulmonary artery/AP window is similar as compared to ___. | 54727321 | EXAM: Chest single frontal view. CLINICAL INFORMATION: Syncope. COMPARISON: ___. | Chronic lung disease. Likely left basilar atelectasis, although an early infectious process is not excluded in the appropriate clinical setting. |
13932002 | The heart is normal in size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. | 50154762 | CHEST RADIOGRAPHS HISTORY: Chest pain and shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13307465 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 50087471 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough, mold exposure, smoker // acute process? COMPARISON: ___. | No acute intrathoracic process. |
13382931 | Left pectoral intracardiac device leads project over the expected locations of the right atrium and right ventricle. Peribronchial cuffing and Kerley B lines with increased interstitial markings suggest mild interstitial pulmonary edema, increased from ___. Pleural effusions are small, if any. No pneumothorax. Mild cardiomegaly is unchanged. Mediastinal silhouette is stable. | 55494016 | INDICATION: Ischemic cardiomyopathy, atrial fibrillation with influenza and fever and worsening dyspnea. COMPARISON: ___, ___. FRONTAL UPRIGHT PORTABLE | Mild interstitial pulmonary edema, increased from ___. |
13382931 | Frontal and lateral views of the chest were obtained. Dual-lead left-sided AICD is again seen with leads extending to the expected positions of the right atrium and right ventricle. There is slight prominence of the interstitium, suggesting minimal interstitial edema. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with mild-to-moderate cardiomegaly again seen. | 59983439 | EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Fever, cough. COMPARISON: ___. | Possible minimal interstitial edema. Otherwise, aside from this, no acute cardiopulmonary process seen. |
13098385 | Biventricular pacing device remains in place, unchanged in position, and cardiomediastinal contours are stable. Extensive calcified pleural thickening in the right hemithorax with adjacent parenchymal scarring also appears similar. Left lung and pleural surfaces are clear. There are no pleural effusions or acute skeletal findings. | 57711028 | PA AND LATERAL CHEST OF ___ COMPARISON: ___. | No acute cardiopulmonary radiographic abnormality. If clinical suspicion for lymphoma is high, consider a dedicated chest CT. |
13098385 | There is a three-dual-lead pacemaker/ICD device appears unchanged. The cardiac, mediastinal and hilar contours appear stable. Pleural thickening and calcification, along with volume loss, in the right mid to lower hemithorax, appear unchanged. The lung fields remain otherwise clear. There is no definite pleural effusion or pneumothorax. There has been no significant change. | 57764939 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Cough. Question pneumonia. COMPARISON: ___ and ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
13098385 | Chest PA and lateral radiograph demonstrates no interval change with pacemaker leads positioned in the right atrium and in both ventricles. Stable mild cardiomegaly. Mediastinal and hilar contours are unremarkable. Stable opacifications projecting over the right lung on frontal view without correlation on lateral view are consistent with pleural plaques and unchanged compared to ___. Stable severe dextroscoliosis with associated degenerative changes. | 58543364 | INDICATION: Nonischemic cardiomyopathy with improved left ventricular ejection fraction to ___%. Patient has cough for two weeks, no fevers, increased fatigue. Please evaluate for pneumonia versus CHF. COMPARISON: Comparison is made to chest radiograph performed ___. | No evidence of pneumonia or congestive heart failure. |
13098385 | Frontal and lateral views of the chest demonstrate stable appearance of calcified pleural thickening and parenchymal scarring within the right basilar hemithorax with volume loss and adjacent old rib fractures. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette remains enlarged, though stable in size. Atrial and biventricular leads are stable in position from a left chest pacemaker. | 59315017 | HISTORY: ___-year-old female with TIA-like symptoms. Please evaluate for acute infectious process. COMPARISON: ___. | No acute chest pathology. |
13097569 | PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 52884951 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Hypopituitarism with nausea, vomiting, assess for pneumonia. | No acute intrathoracic process. |
13798580 | The patient is status post aortic and mitral valve replacement. A pacer is seen overlying the left chest and the wires are seen intact along the expected courses. Sternotomy wires are again seen. The lungs are well expanded and clear. There is no evidence of pulmonary edema or focal collection. Cardiomegaly is seen. There is no pneumothorax or pleural effusion. | 59428295 | HISTORY: ___-year-old male with several days of cough and shortness of breath. COMPARISON: Comparison is made with chest radiographs from ___. | Cardiomegaly. Otherwise, unremarkable chest radiographs. |
13960015 | There is a left chest tube in place. There is no residual pneumothorax visualized. Low lung volumes with bibasilar atelectasis, but no focal consolidations. The pulmonary vasculature is normal. The cardiomediastinal silhouette is stable. There are no pleural effusions. None of the previously reported rib fractures are visualized. | 51570080 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with L 5 rib fx and PTX and L chest tube // comparison and eval of the Chest tube TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. CT chest dated ___. | Left chest tube in place with no evidence of residual pneumothorax. Low lung volumes with bibasilar atelectasis. |
13054457 | There are low lung volumes. There is no effusion or pneumothorax. Minimal bibasilar atelectasis is present. There is elevation of the right hemidiaphragm as a result. The heart size is mildly enlarged, the mediastinal contours are normal. There is no intraperitoneal free air. | 51262278 | CLINICAL INFORMATION: ___-year-old male with abdominal pain and EKG changes. COMPARISON: Read conjunction with CTA chest performed same day. | Low lung volumes and bibasilar atelectasis. Mild cardiomegaly. |
13054457 | Lung volumes are low. There is mild bibasilar atelectasis, but no focal consolidation is identified. Mild-to-moderate cardiomegaly is present but not significantly changed from prior. Otherwise, cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Remote deformity of the left distal clavicle is again noted. | 53657774 | INDICATION: ___-year-old male with aspiration. Evaluate for acute process. COMPARISON: ___. TECHNIQUE: Frontal upright chest and lateral radiographs. | Mild-to-moderate cardiomegaly. Mild bibasilar atelectasis, but no focal consolidation to suggest pneumonia. |
13329266 | Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. | 58027134 | EXAMINATION: Chest radiograph INDICATION: Palpitations. TECHNIQUE: Chest PA and lateral COMPARISON: None | Normal chest radiograph, specifically no cardiomegaly or fluid overload. |
13047359 | Portable semi-upright chest radiograph was provided. Lung volumes are markedly low, which limits the evaluation. There is likely a small right pleural effusion. Bibasilar atelectasis is also likely present. The size cannot be assessed. No large pneumothorax is seen. Bony structures appear grossly intact. | 56233349 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: Seizure/pneumonia. | Limited, bibasilar atelectasis, likely small right effusion. |
13047359 | There is persistent elevation of the left hemidiaphragm with associated basilar atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. The cardiomediastinal silhouette is unchanged. There is no evidence of pulmonary vascular congestion. | 56129310 | HISTORY: Chronic cough, question infiltrate. COMPARISON: Chest radiograph from ___ dating back to ___. | Elevated left hemidiaphragm unchanged from ___ with associated basilar atelectasis but no evidence of pneumonia. |
13047359 | Frontal radiographs of the chest were acquired. The newly placed endotracheal tube ends 5.5 cm above the level of the carina. An enteric catheter courses below the level of the diaphragm, ending within the mid to low stomach. Lung volumes are very low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. There is minimal bilateral lower lung atelectasis. There are no pleural effusions. No pneumothorax is seen. An ovoid radiopaque structure overlying the left humeral head could reflect a suture anchor from prior surgery. Surgical clips seen in the right upper quadrant of the abdomen. | 59364459 | INDICATION: Intracranial hemorrhagic lesion. Status post orogastric and endotracheal tube placement. Evaluate position. COMPARISON: Chest radiograph from ___. | High positioning of the endotrahceal tube. Recommend advancing by 2-3 cm. Very low lung volumes with bilateral areas of lower lung atelectasis. |
13047359 | The endotracheal tube ends 4.3 cm above the level of the carina. An enteric catheter is visualized at least to the level of the diaphragm but obscured by soft tissues more inferiorly. This catheter was seen to end within the stomach on radiographs from ___. Lung volumes remain very low. Minimal bilateral lower lung atelectasis is not significantly changed. Elevation of the left hemidiaphragm is not significantly changed. The heart size is difficult to assess but is likely top normal. The mediastinal contours are unchanged. There are no pleural effusions. No pneumothorax is seen. | 50296901 | INDICATION: Large parietal mass, status post hemorrhage and craniotomy, intubated. Assess for interval change and evaluate endotracheal tube position. COMPARISON: Chest radiograph from ___. | Unchanged very low lung volumes with minimal bilateral lower lobe atelectasis. Appropriately positioned endotracheal tube. Enteric catheter visualized only as far as the level of the diaphragm, being obscured over its abdominal course. |
13047359 | Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Minimal bibasilar atelectasis is present, but improved compared to the prior exam. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present. A left humeral head anchor is present. | 58909003 | HISTORY: Weight gain, shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. Low lung volumes. |
13047359 | Frontal and lateral views of the chest were obtained. There are low lung volumes, which accentuate the basilar bronchovascular markings. There is bibasilar atelectasis. Slight blunting of the right costophrenic angle is likely due to low lung volumes. The cardiac and mediastinal silhouettes are stable given differences in patient position and low lung volumes. | 56237163 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: GVM and intracranial hemorrhage. COMPARISON: ___. | Low lung volumes without definite acute cardiopulmonary process. |
13704565 | The cardiac, mediastinal and hilar contours appear unchanged. There is again volume loss in the left upper hemithorax with upward retraction of the hilum. Calcified subpleural opacification at the left lung apex appears very similar in pattern. Small calcified granulomas are present in each upper lung with no definite superimposed opacity. Left basilar opacity is most consistent with minor atelectasis. There is no pleural effusion or pneumothorax. Bony structures are unremarkable. | 56347339 | CHEST RADIOGRAPHS HISTORY: Fever. Question pneumonia. COMPARISONS: Remote prior radiographs from ___ as well as more recent chest CT from ___. TECHNIQUE: Chest, PA and lateral. | Stable appearance of the chest. |
13122881 | Moderate cardiomegaly is unchanged. Bilateral hilar peribronchial cuffing and prominence of the pulmonary vasculature are increased. Probable mild pulmonary edema. Bilateral hilar prominence is unchanged from ___. Small bilateral pleural effusions. An aortic graft is partially visualized in the abdomen. | 54387065 | WET READ: ___ ___ ___ 4:36 PM Moderate fluid overload with mild pulmonary edema. No evidence of pneumonia ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with malaise, cough // pna? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | Moderate fluid overload with mild pulmonary edema. No evidence of pneumonia |
13122881 | Moderate cardiomegaly is chronic and mild pulmonary edema is worse today than on ___, though less severe than on ___ or ___. Pleural effusions would not be surprising, but are small if any. Obscuration of the left hemidiaphragm could be due to atelectasis and confluent edema or, less likely, pneumonia. | 55866368 | INDICATION: ___-year-old male with CHF. COMPARISON: Chest radiographs ___. | Recurrent mild pulmonary edema due to chronic congestive heart failure. Left lower lobe atelectasis and confluent edema, less likely pneumonia. |
13122881 | Compared the prior study, there has been interval improvement in pulmonary edema with prominent central pulmonary vascular engorgement seen currently without frank edema. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly stable with the cardiac silhouette enlarged in the aorta tortuous. | 57713913 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with ekg changes, cough // PNA? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Prominent central pulmonary vascular engorgement. Previously seen pulmonary edema has significantly improved in the interval. |
13122881 | Compared to the prior radiograph from ___, there is worsened bilateral interstitial edema and pulmonary vascular congestion. Moderate cardiomegaly is unchanged. No large pleural effusion is seen. | 55379667 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with dyspnea. Evaluate for pneumonia versus heart failure. TECHNIQUE: Portable upright chest radiograph COMPARISON: ___ | Moderate pulmonary edema, moderate cardiomegaly, worsened compared to the chest radiograph from ___. No large pleural effusion. |
13122881 | An AP upright portable view of the chest was obtained. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette enlarged. There is increase in perihilar opacities bilaterally suggesting pulmonary edema. Superimposed infectious process is not excluded. No large pleural effusion is seen. There is no evidence of pneumothorax. | 51239148 | EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: CHF with shortness of breath. COMPARISON: ___. | Enlarged cardiac silhouette with bilateral opacities suggesting pulmonary edema. No large pleural effusion is seen. |
13544842 | Low bilateral lung volumes. There is an opacity in the left peripheral lung base which may reflect a combination of atelectasis/ consolidation and a pleural effusion. No pneumothorax is identified. The right lung is clear. The size the cardiac silhouette is enlarged but is likely accentuated by the low lung volumes. | 50195332 | INDICATION: ___M on HD s/p lap nephrectomy now w somnolent O2 req, fever to 103 // ? pna TECHNIQUE: AP portable chest radiograph COMPARISON: ___ | Left basal opacity likely reflects a combination of pleural fluid and atelectasis/ consolidation. |
13544842 | Bilateral low lung volumes again noted. New opacity in the right base probable atelectasis but cannot exclude pneumonia. Mild improvement in left pleural effusion and left base opacity noted with air bronchograms, concerning for pneumonia. Cardiomediastinal silhouette unchanged. There is no pneumothorax. | 54712253 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with hypoxemia // assess for PNA, infiltrate TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___ | Left base opacity concerning for pneumonia with associated left pleural effusion mildly improved. Probable right base atelectasis but cannot exclude pneumonia. |
13544842 | There is a left-sided central line with tip in the right atrium. Lung volumes are low and there is volume loss at the bases. There is no definite infiltrate. There is no pneumothorax. The cardiac and mediastinal silhouettes are normal | 57296686 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with acute onset chest pain // eval for chest pain post op TECHNIQUE: Portable chest COMPARISON: ___. | No focal infiltrate or effusion. |
13917573 | PA and lateral views of the chest were provided. The lungs are clear bilaterally. A pectus excavatum of the sternum results in poor definition of the right heart border. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. No bony abnormalities. No free air below the right hemidiaphragm. | 58718614 | HISTORY: ___ year-old female with chest and back pain. COMPARISON: None. | No acute intrathoracic process. |
13457703 | Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present. | 54302185 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
13823168 | 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. | 53400186 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with palpitations TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13542735 | The heart size is within normal limits. The mediastinal contours appear unremarkable. The right hilus is prominent, likely reflecting vascular structures, but lymphadenopathy can also be present. The lungs demonstrate minimal bibasilar and lingular atelectasis as well as mild pulmonary vascular congestion. No large pleural effusion or pneumothorax is present. Clips in the right upper quadrant are compatible with prior cholecystectomy. | 56737948 | HISTORY: ___-year-old male with chest pain. STUDY: Upright AP and lateral chest radiographs. COMPARISON: ___. | Bibasilar atelectasis and mild pulmonary vascular congestion. Enlarged right hilum. |
13542735 | Minimal bibasilar opacities correspond with atelectasis seen on concurrent CT abdomen and pelvis. No confluent consolidation is identified. There is no large pleural effusion. No pulmonary vascular congestion or interstitial edema is evident. There is no pneumothorax. Mediastinal acontours are within normal limits and unchanged from prior. Mild prominence of the hila bilaterally is likely secondary to large underlying vasculature. | 56752793 | HISTORY: ___-year-old male with epigastric pain COMPARISON: Concurrent CT abdomen and pelvis from ___ at 2:25 a.m. and thoracic spine radiographs from ___. PORTABLE FRONTAL CHEST | Bibasilar atelectasis as confirmed on concurrent CT. |
13542735 | AP single view of the chest has been obtained with patient in semi-upright position. Chest findings are unaltered on frontal view compared with next preceding study. No pneumothorax can be identified. No new infiltrates are seen. | 55037917 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient status post bronchoscopy and biopsy procedure, check for pneumothorax. | No evidence of pneumothorax or any other complication following bronchoscopic biopsy procedure. |
13509254 | A single portable AP chest radiograph was obtained. The patient has been extubated. Lung volumes have decreased. Fullness and irregularity of the hila, aorticopulmonary window and azygos contour remain accentuated by low lung volumes. Bibasilar atelectasis has increased. New triangluar opacity at the right base may reflect fluid in the major fissure or atelectasis. No new consolidation or pneumothorax is present. | 59366949 | INDICATION: ___-year-old male with COPD, presenting with hypoxia and tachycardia, now status post extubation, increasing oxygen requirement. COMPARISONS: ___, ___. | Status post extubation. Persistent mediastinal and hilar contour abnormality should be assessed with chest CTA when clinically appropriate. Findings discussed with Dr ___ ___ phone at approximately 10am on ___. |
13509254 | Two portable frontal chest radiographs were obtained. An endotracheal tube has been placed with the tip terminating at the mid clavicular heads. Fullness and irregularity of the bilateral hila, aorticopulmonary window and azygos contour is accentuated by the low lung volumes. Linear horizontal atelectasis is noted at the right base. No effusion, pneumothorax or new consolidation is noted. | 58545106 | INDICATION: ___-year-old man status post hip ORIF with subsequent wide complex tachycardia, respiratory distress, requiring intubation. COMPARISON: ___. | Appropriate position of ETT tube. Persistent mediastinal and hilar contour abnormalities represent multifocal lymphadenopathy or vascular enlargement. A chest radiograph can neither confirm nor exclude a pulmonary embolism. A chest CTA is still required to better assess the mediastinum. |
13270673 | Confluent opacity with suggestion of air bronchogram projecting over the right apex on this single frontal view could represent infection or pleural abnormality. The remaining visualized lungs are essentially clear. The heart is top-normal in size. The mediastinum is not widened. No edema or pleural effusion. No acute osseous abnormality. | 51762129 | WET READ: ___ ___ 4:37 PM Nonspecific opacity projecting over the right apex. CT to Chest without contrast is recommended to further evaluate the upper lungs. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with bowel perforation presenting for preoperative chest radiograph. TECHNIQUE: Portable upright AP radiograph view of the chest. COMPARISON: No prior relevant imaging is available on PACS at the time of this dictation. | Nonspecific opacity projecting over the right apex. |
13058129 | The lungs are well expanded and clear. Hila and cardiomediastinal contours and pleural surfaces are normal. Right aortic arch again noted. | 55163792 | INDICATION: ___M with chest pain // eval for PTX, pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ | No pneumothorax or pneumonia. |
13058129 | Lungs are clear of consolidation, pleural effusion or pneumothorax. Heart size is normal. A right-sided aortic arch is an incidental finding. No subdiaphragmatic free air. Evaluation of the osseous structures reveals anterior osteophytes at multiple levels throughout the thoracic spine. | 55565729 | WET READ: ___ ___ ___ 4:00 PM 1. No pneumonia. 2. Incidentally noted right aortic arch. WET READ VERSION #1 ___ ___ ___ 1:23 PM Mild pulmonary vascular congestion, without evidence of pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough fever // r/o infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No pneumonia. Incidentally noted right aortic arch. |
13907373 | Surgical clips project over the right upper quadrant. The cardiac, mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lung volumes are low with patchy left lung opacities that are highly non-specific. | 50480793 | CHEST RADIOGRAPH HISTORY: Unresponsiveness. COMPARISONS: None. TECHNIQUE: Chest, supine AP portable. | Patchy left lung opacities, but not extensive. Atelectasis could be considered. If there is concern for a developing pulmonary process, then short-term followup radiographs could be considered. |
13907373 | Portable supine chest radiograph was obtained. The lungs are somewhat low in volume with unchanged retrocardiac atelectasis. Right internal jugular central venous catheter terminates at the level of the superior cavoatrial junction. There is no pleural effusion. Assessment for pneumothorax limited on the supine view without evidence of large pneumothorax. The cardiac size and cardiomediastinal contours are unremarkable. | 54668336 | HISTORY: New right IJ COMPARISON: Chest radiograph from 2 hours prior. | Satisfactory position of right internal jugular catheter. |
13176652 | PA and lateral views of the chest demonstrate no evidence of pneumonia. There is no pleural effusion, pneumothorax or pulmonary edema. No subdiaphragmatic free air is identified. | 56000367 | HISTORY: ___-year-old female with hematemesis. Evaluation for pneumonia. COMPARISON: None available. | No acute cardiopulmonary process. No evidence of free air. |
13761822 | Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No displaced fracture is seen. | 57708460 | EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: Mid thoracic back pain. COMPARISON: ___. | No acute cardiopulmonary process. No significant interval change. Please note that dedicated imaging of the spine was not obtained. |
13609891 | PA and lateral views of the chest were obtained. Heart is top normal size, and mediastinal contour is unremarkable. Indentation of the trachea may relate to an enlarged thyroid gland. Lungs are clear. Pulmonary vasculature is within normal limits. There is no pleural effusion or pneumothorax. | 50819250 | INDICATION: ___-year-old man with acute renal failure, evaluate for cardiomegaly and/or volume overload. COMPARISON: None. | No evidence of cardiomegaly or pulmonary edema. Indentation of the trachea may relate to an enlarged thyroid gland and should be clinically correlated. |
13842408 | Cardiomediastinal silhouette is within normal limits. Lungs are clear. There is no pleural effusion or pneumothorax. Bones and the upper abdomen are grossly unremarkable. | 50291967 | EXAMINATION: Chest radiograph INDICATION: ___M with seizure. R/o underlying infection TECHNIQUE: Chest PA and lateral COMPARISON: None | No acute intrathoracic abnormality. |
13585733 | The lungs are clear. Cardiac silhouette is normal in size. No pleural effusion, pneumothorax, pneumonia or pulmonary edema. | 51532728 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of chest. COMPARISON: None. | No acute cardiopulmonary process. |
13282748 | Portable frontal supine radiograph of the chest demonstrates interval placement of an ET tube ending 3.3 cm above the carina. An enteric tube is seen passing just below the diaphragm. The side hole is not well visualized however it is likely within the esophagus. The right internal jugular central venous catheter is in unchanged position ending in the mid SVC. Lung volumes are lower. Otherwise, there is no significant change compared to 20 minutes prior. | 53338134 | WET READ: ___ ___ ___ 2:09 AM ET tube in satisfactory position. Enteric tube ends just below the diaphragm with the side hole likely still within the esophagus; although, it is difficult to visualize. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___M with septic now intubated // ? tube placement COMPARISON: ___ at 0:06. | ET tube in satisfactory position. Enteric tube ends just below the diaphragm with the side hole likely still within the esophagus; although, it is difficult to visualize. |
13282748 | The lungs are clear without overt pulmonary edema or large effusion. Cardiac silhouette is enlarged but stable. Left chest wall single lead pacing device, median sternotomy wires and mediastinal clips are again noted. | 57116503 | INDICATION: ___M with significant cardiac history presenting with ___ swelling, dyspnea on exertion // eval for fluid overload TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | No definite acute cardiopulmonary process. |
13282748 | The right IJ central venous catheter has been removed. The projection is slightly lordotic, with which limits evaluation of the presents position of the right-sided PICC line. However, its tip is likely close to the superior cavoatrial junction. Sternotomy wires are intact and aligned. A left pectoral AICD and multiple pacer leads remain in place. The patient has had previous CABG. Moderate cardiomegaly despite the projection is unchanged. Minimal left basilar retrocardiac subsegmental atelectasis is stable. There is no pneumothorax. | 52057198 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with CHF who has worsening hypotension, dyspnea. // Any movement of the PICC s/p removal of IJ? TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: Earlier the same day. | Right PICC line likely terminates very close to the superior cavoatrial junction. No other relevant change. |
13282748 | There is again seen a left upper chest device with associated single lead projecting in stable position. Stable appearance of multiple median sternotomy wires and surgical clips. The mediastinal silhouette is unchanged in appearance. The cardiac silhouette shows stable enlargement. There is no change in the appearance of the bilateral lungs, without evidence of any new focal consolidations. There is no overt pulmonary edema. There are no pneumothoraces or effusions. | 53846187 | EXAMINATION: Portable AP chest x-ray INDICATION: ___ year old man with with acute on chronic systolic heart failure // evaluate extent of pulmonary edema TECHNIQUE: AP projection COMPARISON: Portable AP chest x-ray obtained ___. | No pulmonary edema. Stable chest x-ray. |
13282748 | Portable supine frontal radiograph of the chest demonstrate a new right internal jugular central venous catheter ending in the mid SVC. There is otherwise no change in the appearance of the chest compared to 6 hours prior. No pneumothorax. | 51263095 | INDICATION: History: ___M with new right IJ // ? line placement COMPARISON: ___. | Right IJ ends in the mid SVC. |
13282748 | Patient is status post median sternotomy, CABG, and placement of several epicardial leads. Left-sided AICD device is noted with single lead terminating in the right ventricle. Dual lumen right subclavian central venous catheter tip terminates in the lower SVC. Heart size remains mild to moderately enlarged. Mediastinal and hilar contours are unremarkable. There is mild pulmonary vascular congestion without overt pulmonary edema. Small bilateral pleural effusions are unchanged from the previous radiograph. There is no focal consolidation or pneumothorax. Minimal atelectasis is noted in the lung bases. | 52513175 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with hypotension TECHNIQUE: Portable upright AP view of the chest COMPARISON: Chest radiograph ___ | Small bilateral pleural effusions and mild pulmonary vascular congestion. |
13282748 | Right internal jugular hemodialysis catheter is in the low SVC. Left chest wall defibrillator terminates in the right ventricle. Multiple abandoned epicardial pacing wires project over the heart. Median sternotomy wires are grossly intact. Moderate cardiomegaly is stable. There is interval mildly increased fluid in the minor fissure and layering at the right base. Small left pleural effusion is likely unchanged. There is no frank pulmonary edema. | 51414729 | INDICATION: ___ year old man w66M w/hx of multiple cardiac co-morbidities (for severe advanced sCHF (LVEF: ___%), CAD s/p MI and CABG in ___, and VT s/p St ___ ICD, permanent A.fib s/p AVJ ablation, and mild mitral regurgitation) and asymptomatic hyponatremia, multiple admissions for CHF exacerbation, presents from scheduled dialysis w/5kg weight gain, AMS, and worsening weakness // interval change TECHNIQUE: Portable semi-upright AP chest COMPARISON: Chest radiographs ___ through ___ | Slight increase in right pleural effusion. Stable small left pleural effusion. No frank pulmonary edema. Stable moderate cardiomegaly. |
13282748 | Dual-lumen right central venous catheter tip projects over the low SVC, unchanged. Left single lead ACID is unchanged in position. The patient is status post median sternotomy. Numerous mediastinal clips and epicardial pacing wires are unchanged. Lung volumes remain low. Interval increase in left lower lobe opacity likely reflects a combination of atelectasis and mild edema. Bilateral pleural effusions are small, perhaps slightly increased from the prior exam. The heart moderately enlarged. | 57350848 | EXAMINATION: Portable chest radiograph INDICATION: History: ___M with fall, altered mental status ; acute process TECHNIQUE: Portable, upright frontal radiograph view of the chest. COMPARISON: Chest radiograph dated ___. | Findings most consistent with mild volume overload. No pneumonia. |
13282748 | Left chest wall single lead pacing device is noted as well as multiple epicardial pacing wires, similar to prior. The lungs are clear without consolidation or edema. Blunting of the lateral costophrenic angles may be due to small effusions. The cardiomediastinal silhouette is stable. | 52988313 | INDICATION: ___M with SOB, CHF // Eval for fluid overload TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | Possible small bilateral pleural effusions. No other acute cardiopulmonary process. |
13282748 | Dual lumen right sided central venous catheter tip terminates the lower SVC. Left-sided AICD device is noted with single lead in unchanged position. Epicardial leads, median sternotomy wires, and CABG clips are demonstrated. Heart size remains moderately enlarged, unchanged. Mediastinal and hilar contours are similar. Mild pulmonary vascular congestion is unchanged from prior. There is blunting of the costophrenic angles bilaterally compatible with trace pleural effusions, unchanged. No focal consolidation or pneumothorax is present. No acute osseous abnormality is visualized. | 57455414 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with shortness of breath, altered mental status, history of subdural hematoma on anticoagulants TECHNIQUE: Upright AP and lateral views the chest COMPARISON: Chest radiograph ___ | Mild pulmonary vascular congestion and trace bilateral pleural effusions, unchanged. |
13282748 | AP portable upright view of the chest. Left chest wall AICD is unchanged. Multiple wires overlying the heart likely represent abandoned pacer leads. Midline sternotomy wires and mediastinal clips are again noted. Cardiomegaly is stable. Lung volumes are low though the lungs appear clear. Mild hilar congestion. Trace bilateral pleural effusions likely present. No overt edema. No pneumothorax. Bony structures are intact. | 50873538 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with fall, hypotension, heart failure COMPARISON: Prior study from ___ | Stable cardiomegaly with mild congestion and probable tiny bilateral pleural effusions. |
13282748 | There are low lung volumes. Increased interstitial markings and indistinct pulmonary vasculature is consistent mild pulmonary edema. There is a moderate right pleural effusion and a trace left pleural effusion, which creates the visible disparity in opacity of the hemithoraces. Moderate cardiomegaly is noted. Mediastinal clips pacemaker, inserts are noted. | 54032889 | WET READ: ___ ___ ___ 4:51 PM Mild pulmonary edema. Moderate right and trace left pleural effusions. WET READ VERSION #___ ___ ___ ___ 8:44 AM Mild to moderate pulmonary edema, right greater left. Small right pleural effusion, probable trace left pleural effusion. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiographs INDICATION: History: ___M with dyspnea, CHF, crackles, hypoxia // eval edema, PNA TECHNIQUE: Chest PA and lateral COMPARISON: Single portable supine frontal image chest. | Mild pulmonary edema. Moderate right and trace left pleural effusions. |
13282748 | Relatively low lung volumes noted on the current exam with secondary crowding of the bronchovascular markings. Left chest wall pacing device is again noted. Mediastinal clips, mediastinal wires transitional pericardial densities in process. The lungs are grossly clear | 57119870 | INDICATION: ___M with severe epigastric pain and chest pain // Eval for free air or wide mediastinum TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | No definite acute cardiopulmonary process. |
13282748 | Left chest wall single lead pacing device is again noted, with multiple mediastinal surgical clips and epicardial pacing wires. Heart size is enlarged but stable. Blunting of the left costophrenic angle is likely secondary to pleural thickening. No interstitial edema or evidence of pneumonia. | 58149833 | WET READ: ___ ___ ___ 12:23 AM Stable cardiomegaly and small left pleural effusion. No interstitial edema. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with CHF, increase leg swelling. Evaluate for edema. TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Stable cardiomegaly. No evidence of pulmonary edema. |
13282748 | AP portable upright view of the chest. Left chest wall AICD noted with lead extending to the region the right ventricle. Multiple abandoned leads project over the cardiac silhouette. Midline sternotomy wires and mediastinal clips are again noted. Heart is stably enlarged. No convincing evidence for edema. There is a tiny left pleural effusion. Right CP angle is excluded though no large effusion is seen. No pneumothorax. No overt edema or pneumonia. Mediastinal contour appears grossly stable. Bony structures intact. | 54184224 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with hypotension, chest pain COMPARISON: ___. | Stable cardiomegaly with tiny left pleural effusion. |
13282748 | Prior right-sided central venous catheter is no longer visualized. Left chest wall single lead pacing device and multiple abandoned epicardial leads are again noted. Median sternotomy wires and mediastinal clips are noted. Cardiomediastinal silhouette is stable. There is no focal consolidation or pulmonary edema. There is no large effusion. | 53048625 | INDICATION: ___M with chf // eval for pulm edema TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | No acute cardiopulmonary process, |
13282748 | Probable background hyperinflation/COPD. The patient is status post sternotomy. The cardiomediastinal silhouette is enlarged, but unchanged. Left-sided pacemaker/AICD type device is present, with lead tip unchanged. Multiple epicardial pacing wire is are present, similar to the prior film. There is upper zone redistribution, but no overt CHF. No focal infiltrate or effusion is identified. Minimal atelectasis versus slight thickening of the minor fissure is noted. Slight pleural thickening along lower chest walls bilaterally may relate to body habitus rather than frank pleural thickening. . | 58639690 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chf // eval for chf COMPARISON: ___ at 14 35 | COPD and cardiomegaly, with AICD type device, similar to the prior film. There is upper zone redistribution, without other evidence of CHF. |
13840464 | Frontal and lateral views of the chest provided. A single-lead pacer is unchanged in position with lead tip extending to the region of the right ventricle. The previously noted right IJ central venous catheter has been removed. The heart remains moderately enlarged though stable. There are no signs of CHF or pneumonia. No pneumothorax. Bony structures intact. | 52911851 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Cough, shortness of breath, question infection. | Stable cardiomegaly, otherwise unremarkable. |
13840464 | Frontal and lateral chest radiographs were obtained with the patient in upright position. A tricuspid annuloplasty ring is in a stable position. Median sternotomy wires are intact. Epicardial pacing wires are again visualized. There is marked cardiomediastinal widening. No focal consolidation, pneumothorax or pulmonary edema is seen. Small pleural effusions. | 54676262 | HISTORY: Patient status post TV ring and Maze procedure, eval for effusion. COMPARISON: ___. | Stable postoperative cardiomediastinal widening. Small pleural effusions. |
13840464 | Study is slightly limited due to kyphotic positioning. A left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. Moderate to severe cardiomegaly persists. Mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is detected. No acute osseous abnormalities seen. | 54735333 | HISTORY: Left-sided chest pain. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
13840464 | AP single view of the chest has been obtained with patient in supine position. The patient is now intubated, the ETT seen to terminate in the trachea 4 cm above the level of the carina. A right internal jugular vein sheath is noted to reach with its tip 1 cm below the lower edge of the clavicle. This is close to the junction of the jugular and subclavian veins. New row of midline sternal wires indicates recent cardiac surgery. Multiple external wires are overlying the chest. There is a semi-circular metallic structure in the expected area of the tricuspid valve and probably relates to an annuloplasty. Heart size remains enlarged with considerable prominence of the right atrial contour to the right. Pulmonary vasculature is slightly increased, but there is no evidence of large pleural effusions and no pneumothorax is seen in the apical area. | 57982294 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient status post TV (tricuspid valve?) repair. Post-operative. | Satisfactory first post-operative chest findings. |
13840464 | There low lung volumes. Subtel retrocardiac opacity is likely atelectasis. There is no pulmonary edema or pleural effusion. There is no pneumothorax. Massive cardiomegaly is again seen, similar to prior exam. | 52408063 | HISTORY: Chest pain, shortness of breath, crackles on exam. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | No acute cardiopulmonary process. Stable enlargement of the cardiac silhouette. |
13840464 | Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion, or vascular congestion. Cardiomediastinal silhouette enlarged similar compared to prior epicardial pacing wires are again seen. No acute osseous abnormalities detected. | 58401774 | HISTORY: ___-year-old male tricuspid regurgitation with crackles on exam. Question volume overload. COMPARISON: ___. | No acute cardiopulmonary process. Unchanged cardiomegaly. |
13840464 | PA and lateral chest radiographs demonstrate stable positioning of left-sided pectoral pacer lead. Severe cardiomegaly is chronic. There is no pleural effusion or evidence of pulmonary edema. There is no focal consolidation or pneumothorax. | 59812492 | INDICATION: Three days of chest pain. COMPARISON: Chest radiographs, ___ and ___. CTA chest, ___. | No acute cardiopulmonary process. |
13817051 | The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Numerous clips are re- demonstrated within the left upper quadrant compatible with prior nephrectomy. | 50796802 | HISTORY: Cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13719402 | Portable AP upright chest radiograph was provided. Bibasilar opacity, mild and likely reflects atelectasis, though small effusions are impossible to exclude. Patient is rotated to the right, which limits evaluation. Allowing for technical limitations, there is no definite sign of pulmonary edema or new consolidation since prior exam. The heart size cannot be assessed. Bony structures appear intact. | 53109021 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from two hours earlier. CLINICAL HISTORY: V-tach, assess overload. | Mild bibasilar opacity in the setting of low lung volumes could represent small effusion or atelectasis. Limited due to rotation. No significant change from prior. |
13755940 | A right internal jugular catheter tip projects within the mid SVC. A right basilar Pleurx catheter is in stable position. Since the prior examination, there is increased apparent lucency demonstrated in the left aspect of the aortic knob, that though may be projectional, pneumomediastinum cannot be excluded. There is improvement in bibasilar opacification, likely atelectases. In addition, there is improvement in pulmonary vascular engorgement. There is no evidence of pneumothorax. The cardiomediastinal and hilar contours are stable. | 54060800 | INDICATION: ___-year-old female with atrial fibrillation and with rapid ventricular response, status post transesophageal echocardiogram 4 hours prior, now mottled and diaphoretic. Evaluate for pneumomediastinum. EXAMINATION: Single frontal chest radiograph. COMPARISONS: ___ dating back to ___. | Apparent lucency demonstrated in the left aspect of the aortic knob, that though may be projectional, pneumomediastinum cannot be excluded. If of clinical concern, chest CT can be performed. Interval improvement in interstitial edema and bibasilar atelectasis. Findings were discussed with Dr. ___ at 4:20 p.m. on ___ via telephone by Dr. ___. |
13107206 | Chronic emphysematous lung changes are again present. On today's exam, there are increased opacities around the right hila which on the lateral view project over the anterior portion of the heart, localizing to the right middle lobe. There are also opacities near the right costophrenic angle, likely related to scarring which are stable since ___. There is no pulmonary edema, pleural effusion or pneumothorax. | 55406537 | WET READ: ___ ___ ___ 12:28 AM Right middle lobe pneumonia. Recommend repeat radiographs after treatment to ensure resolution especially given the patient's emphysematous changes. ______________________________________________________________________________ FINAL REPORT HISTORY: Fever and cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Right middle lobe pneumonia. Recommend repeat radiographs after treatment to ensure resolution especially given the patient's emphysematous changes. |
13107206 | A rounded density in the right lower lung is compatible with a right middle lobe pneumonia. Given that there has been increasing density in the right lung base compared with prior studies dating back to ___, nonemergent chest CT is recommended for further evaluation. There is minimal left lung base pleural thickening. There is no pleural effusion or pneumothorax. Underlying moderate emphysema has progressed slightly compared with prior studies. The cardiomediastinal silhouette is normal. | 56940978 | WET READ: ___ ___ ___ 2:16 AM Rounded opacity in the right lung base concerning for right middle lobe pneumonia. Finding is progressed compared with prior studies and may represent relapsing pneumonia or a slow growing underlying pulmonary lesion. Recommend nonemergent chest CT for further evaluation. WET READ VERSION #1 ___ ___ ___ 7:14 PM Rounded opacity in the right lung base is compatible with a right middle lobe pneumonia. Finding is progressed compared with prior studies and may represent relapsing pneumonia or a slow growing underlying pulmonary lesion. Recommend nonemergent chest CT for further evaluation. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with malaise evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dating back to ___. | Rounded opacity in the right lung base concerning for a right middle lobe pneumonia. Finding is progressed compared with prior studies and may represent relapsing pneumonia or a slow growing underlying pulmonary lesion. Recommend nonemergent chest CT for further evaluation. |
13107206 | There is hyperinflation of the lungs with irregularity of the peripheral pulmonary vascularity, in keeping with emphysema. There are no new focal opacities concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are normal. Pulmonary vascularity is normal. | 59035277 | INDICATION: A ___-year-old female with tobacco history now with cough and hypoxia. EXAMINATION: PA and lateral chest radiographs. COMPARISONS: ___ | Findings compatible with emphysema. No evidence of pneumonia. |
13775111 | The heart size is normal. The hilar mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion, or pneumothorax. The visualized osseous structures are unremarkable. | 56971073 | INDICATION: ___F w/R CVAT please evaluate for a R-sided stone. Please evaluate. TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph from ___ and ___. | No acute intrathoracic abnormalities identified. |
13775111 | Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unchanged. No pneumothorax, pleural effusion, or consolidation. | 55443605 | WET READ: ___ ___ ___ 4:50 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with chest pain, sob // ? infection, cardiac pathology TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray dated ___. | No acute cardiopulmonary process. |
13695615 | Frontal and lateral chest radiographs demonstrate clear, well-expanded lungs without pleural effusion or pneumothorax. There are surgical changes of median sternotomy and CABG. The cardiac silhouette is top normal in size, the mediastinal contours are normal. The pulmonary vasculature is normal. | 56409017 | HISTORY: ___-year-old male with chest pain, evaluate for cardiopulmonary process. COMPARISON: None. | Mild cardiomegaly status post CABG, without acute chest abnormality. |
13358528 | 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. | 56110125 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with fever // ? infectious process TECHNIQUE: Chest PA and lateral COMPARISON: None. | No evidence of pneumonia. No acute cardiopulmonary process. |
13425736 | Heart size is mildly enlarged but unchanged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. Mild degenerative changes are noted within the lower thoracic spine. No radiopaque foreign bodies are visualized. | 56081156 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with neck pain after foreign body ingestion // Eval for foreign body TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. No radiopaque foreign body. |
13425736 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 52742769 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough subjective fever // pna COMPARISON: ___ | No acute intrathoracic process. |
13425736 | Low lung vollumes seen with crowding of the bronchovascular markings. There are no focal pulmonary opacities or edema. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No subdiaphragmatic free air is identified. | 50004646 | INDICATION: ___-year-old male with right flank pain. Evaluate for CHF. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs. | No clear evidence of acute cardiopulmonary process. |
13301874 | The lungs are noted to be mildly hyperinflated. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. A retrocardiac air-fluid level of suggestive of a moderate sized hiatal hernia. There is no evidence of pneumoperitoneum. | 56787550 | HISTORY: Diffuse abdominal pain. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Comparison is made chest radiographs dated ___. . | No radiographic evidence for acute cardiopulmonary process. Moderate sized hiatal hernia. |
13301874 | The heart size and mediastinal contours are stable. A hiatal hernia is again seen. Lung volumes are lower with linear opacities at the bilateral bases consistent with atelectasis. No pleural effusion or pneumothorax. | 58914643 | INDICATION: ___ year old woman with MS changes, somnolence, diminished LS, wheeze // r/o pulmonary etiology of altered MS TECHNIQUE: Frontal upright radiograph of the chest. COMPARISON: ___ | Bibasilar atelectasis. Otherwise no change from prior. |
13954133 | There is tiny right pleural effusion, not definitely seen on comparison radiograph. Right pleural catheter is in place. There is tiny right pleural effusion, similar. New stable right basilar opacity, likely atelectasis. Stable right lower lateral chest wall emphysema. Stable mild left retrocardiac opacity. Normal heart size, pulmonary vascularity. Thoracolumbar curve. | 58625082 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with R PTX, s/p pigtail, s/p pleurodesis now with inc O2 req and desats, ?aspiration // please eval for change TECHNIQUE: Chest single view COMPARISON: ___ 09:53 | Tiny right apical pneumothorax, not definitely seen on prior exam. Otherwise stable exam. |
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