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13954133 | Compared with earlier the same day at 08:55, the right pigtail catheter is similar in configuration. Again seen is a small right apical pneumothorax smaller than on ___ at 08:38, though more apparent than on the film obtained earlier the same day. The patchy opacity in the right mid/lower zone is grossly unchanged and may lie within the right middle lobe. While this probably represents right middle lobe atelectasis, an area of aspiration pneumonitis or early infectious infiltrate could have a similar appearance. Minimal subsegmental atelectasis left base is similar to prior. Known metastatic pulmonary nodules again noted. No CHF. | 59657994 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with PTX. Pigtail placement. Clamped at 10 am // Interval change. Please complete at 1 pm COMPARISON: None. | Pigtail catheter unchanged in position. A small right apical pneumothorax remains present. Patchy opacity in right mid/lower zone, similar to earlier the same day, allowing for technical differences --___ atelectasis versus early pneumonia or aspiration pneumonitis. |
13954133 | Right-sided moderate pneumothorax is increased in size measuring 74 mm in the craniocaudal plane at the right lung apex. The lateral portion is stable measuring 24 mm. Unchanged subcutaneous emphysema in the right lateral chest wall. The left lung is clear. The cardiac silhouette is stable. Mediastinal shift is difficult to assess in the setting of leftward patient rotation and scoliosis. No pleural effusions. | 56455729 | INDICATION: ___ year old woman with spontaneous R PTX, managed with CT, d/c ___ // please eval for interval change, particularly size of PTXplease time CXR between 13:___:00 TECHNIQUE: Chest PA and lateral | Interval increase in size of the apical aspect of the right pneumothorax. |
13954133 | Interval removal of right pigtail catheter. Moderate right pneumothorax, has increased in size, with 5.2 cm apical component, and basilar component. There is trace right pleural effusion, similar. Right basilar opacity, likely atelectasis. Subcutaneous emphysema right lower lateral chest wall has worsened. Left lung is clear. Thoracolumbar curve. Normal heart size pulmonary vascularity. | 53123722 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with PTX. Pigtail placement. Tube removed at 2.___ pm // Interval change. Please complete at 5.30pm TECHNIQUE: Chest two views COMPARISON: ___ 13:41 | Moderate right pneumothorax has increased since prior exam. |
13954133 | The patient is status post talc pleurodesis. Right pneumothorax is seen increased from previous study most prominent at the basilar portion with a small right pleural effusion. The cardiac silhouette is normal. Moderate thoracolumbar scoliosis is unchanged. A left lateral mid lung nodule remains unchanged. | 50346531 | EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old woman with right pneumothorax, S/P talc pleurodesis // check interval change TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest x-rays dated from ___ through ___. | Increased right pneumothorax compared to ___ study. Small right pleural effusion. |
13954133 | Right-sided moderate pneumothorax is minimally increased in size measuring 47 mm in the craniocaudal plane at the right lung apex and measures 24 mm in the lateral extent. Mild decrease in the subcutaneous air in the right lateral chest wall. Mediastinal shift is difficult to assess in the setting of leftward patient rotation. | 53880243 | INDICATION: ___ year old woman with R PTX // PTX resolved? X-Ray to be done ___ at ___ TECHNIQUE: Chest PA and lateral COMPARISON: ___ at 17:41 | Minimal interval increase in size of the right-sided pneumothorax. |
13954133 | The continues to be a large right pneumothorax with considerable collapse of the right lung, similar to the previous film. Density along the right heart border may represent atelectasis and crowding of the right hilum in the setting of a collapsed lung. There is mild associated shift of the mediastinum to the left. The right hemidiaphragm is eventrated. The heart does not appear enlarged. On the left, no CHF, focal infiltrate or effusion. A 12 mm rounded opacity lies against the lies adjacent to the left mid chest wall, overlying the left fourth anterior rib. The patient has other known lung nodules that are not well depicted on this film. | 50178046 | INDICATION: ___-year-old female with large pneumothorax and dyspnea. Please evaluate for change in pneumothorax. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: Chest radiograph from ___ and chest CT from ___. | Large right pneumothorax with mild shift of the mediastinum to the left, similar to the film obtained on ___ at 15:15. Left-sided pulmonary nodule noted. Please see comment above. |
13954133 | A chest tube is seen within the right pleural space in appropriate positioning. Low lung volumes. There is a small apical pneumothorax. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion is seen. There are no acute osseous abnormalities. | 55609597 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p VATS RUL Wedge // eval for PTX, Chest tube placement TECHNIQUE: Semi-upright portable chest radiograph. COMPARISON: Chest radiograph dated ___. | Chest tube in appropriate positioning with small right apical pneumothorax. |
13954133 | Compared with ___ at 01:05, a pigtail-type catheter has been placed, overlying the lateral base of the right lung. There has been considerable re-expansion of the lung. In the right lung apex, a much smaller pneumothorax remains visible. There is some residual platelike atelectasis at the right lung base. There has been considerable re-expansion of the atelectasis seen along the right heart border. Chain sutures in the region of the right hilum are now newly visible. At the left lung base laterally there is a rounded opacity measuring 2.2 cm, overlying the hemidiaphragm. This was not visualized on the prior study. In addition, there is a ___.7 mm nodular density the left upper/mid lung laterally overlying the third anterior rib. No CHF, an no left-sided infiltrate. No gross effusion. Incidental note is made of severe scoliosis and degenerative change in the thoracolumbar spine. | 52895748 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: Right pneumothorax status post 8 ___ pigtail placement TECHNIQUE: Chest, single AP portable view. COMPARISON: None. | Interval placement of pigtail-type catheter at the right lung base, with considerable re-expansion of the right lung. A residual right apical pneumothorax remains visible. 2 nodular densities in the left lung. These correspond to nodular, presumed metastatic, lesions seen in left lung on a chest CT from ___. |
13954133 | There is mild right pneumothorax, with more prominent basilar component, and stable apical component compared with prior. Right basilar opacity is more prominent, likely atelectasis. Right pleural catheter has been removed. Similar right lower lateral chest wall emphysema. Thoracolumbar curve. Normal heart size, pulmonary vascularity. Stable nodular opacity left mid chest. | 50464233 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with R PTX and talc pleurodesis // R/O PTX post CT removal, please do at 6PM TECHNIQUE: Chest two views COMPARISON: ___ 19:02 | Mild right hydropneumothorax is more prominent. |
13954133 | Postoperative changes right chest 2 tubes rejected over right chest. Opacity right mid chest laterally, likely postoperative. There is mild right pleural effusion, with basilar atelectasis. There is small left pleural effusion. Indeterminate nodule in the left mid chest is stable. Mild left basilar atelectasis. Heart size, pulmonary vascularity are stable. Suggestion of tiny right apical pneumothorax. There is no left apical pneumothorax. Thoracolumbar curve. | 56384245 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p VATs blebectomy // eval for post-op changes TECHNIQUE: Chest single view COMPARISON: ___ 15:52 | Postoperative changes right chest. Suggestion of tiny right apical pneumothorax. Mild right, small left pleural effusion. Bibasilar atelectasis. |
13954133 | PA and lateral views of the chest provided. There is a subtle nodular opacity projecting over the periphery of the left mid lung measuring 8 mm, not definitively seen on the prior exam. Aside from this, the lungs are clear. No signs of pneumonia or edema. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Notable dextroscoliosis of the lumbar spine partially imaged. No free air below the right hemidiaphragm is seen. | 50461527 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with fevers // ?pneumonia COMPARISON: ___. | Apparent 8 mm nodule in the left peripheral mid lung, not definitively seen on prior, consider nonemergent chest CT to further assess. Otherwise unremarkable. |
13954133 | Compared with the most recent prior study, the previously seen right upper zone pneumothorax has decreased considerably. Doubt but cannot entirely exclude a tiny residual apical pneumothorax. Again seen is the right-sided pigtail catheter -- on the current exam, it liesslightly higher and against the inner surface of the mid/lower right chest wall. Previously seen atelectasis at the right lung base has improved, though there is new irregular opacity in the right mid zone. Left line remains grossly clear except for known pulmonary nodules. No pleural effusion detected. | 57209422 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with PTX. Pigtail placement // Interval change COMPARISON: Chest x-ray from ___ | Near complete versus complete resolution of the right apical pneumothorax. Resolution of previously seen right base atelectasis. New faint patchy opacity in the right mid/lower zone including area of chain sutures and pigtail catheter. Suspect represent an area of early atelectasis, though an early infectious infiltrate or area of aspiration pneumonitis could have a similar appearance. |
13440918 | The lungs are well inflated and clear. No nodule or consolidation is present. Blunting of the posterior hemidiaphragm is stable since ___, likely reflecting scarring. No effusion or pneumothorax is present. The cardiac and mediastinal contours are normal. Minimal left convex scoliosis. | 56664233 | INDICATION: ___-year-old woman with mid thoracic back pain, no trauma. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: ___. | No acute cardiopulmonary process. |
13440918 | The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable. | 51863070 | HISTORY: Right-sided chest pain. COMPARISON: Comparison is made with chest radiographs from ___. | No acute cardiopulmonary process. |
13765640 | Since ___, the small right pleural effusion and right basilar atelectasis is increased. Persistence of low lung volumes. Previously noted pulmonary congestion is mildly decreased. Right pigtail catheter position is unchanged. No pneumothorax. | 59538117 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman with DLBCL c/b R pleural effusion, now s/p drainage with chest tube in place. // please assess for interval change TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiographs from ___ | Increased small right pleural effusion and right basilar atelectasis since ___. |
13765640 | Since ___, minimal increase in right basilar opacities is noted, possibly from reaccumulating chylothorax. A small left pleural effusion is presumed. The heart size is unchanged. The right Port-a-Cath is in the low SVC. The right apical pneumothorax is unchanged. | 57239684 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman with lymphoma, chylothorax // f/u new pleurx, s/p thoracentesis ___ TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiographs from ___, ___, ___ | Minimal increase in right basilar opacifications since ___, possibly from reaccumulation of chylothorax. Small right apical pneumothorax is unchanged. |
13765640 | A right chest wall Port-A-Cath is in unchanged position ending in the lower SVC. Is been interval removal of the right pleural drainage catheter. There is persistent blunting of the right costophrenic angle which may reflect small residual effusion. No focal consolidation, pneumothorax or left pleural effusion. | 59951755 | INDICATION: History: ___F with fever // PNA? TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute intrathoracic process. |
13765640 | A left-sided PICC terminates at the distal SVC. A right-sided pleural catheter is in unchanged position A small to moderate right pleural effusion persists. There is no pneumothorax or left-sided effusion. The cardiomediastinal and hilar contours are stable. | 59877437 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman with pleural effusion // eval TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Persistent small pleural effusion. Right basal chest tube is in place. |
13765640 | Right-sided Port-A-Cath tip terminates in the mid SVC. A large right pleural effusion, with a loculated visual component has increased in size from the previous study. There is continued right basilar opacity likely reflective of atelectasis. Assessment of the cardiac silhouette is slightly limited due to the presence of the large pleural effusion, but appears mildly enlarged. Mediastinal contour is unchanged, with known mediastinal lymphadenopathy better assessed on recent PET CT. Pulmonary vasculature is normal. Left lung is clear. No left-sided pleural effusion is present. There is no pneumothorax. | 54719774 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with recent lymphoma, right sided dyspnea, pleuritic pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, PET-CT ___ | Increased size of large right pleural effusion, with a component loculated in the fissure and continued right basilar atelectasis. Mediastinal lymphadenopathy is better assessed on recent PET-CT. |
13765640 | As compared to chest radiograph from 1 day prior, given for differences in technique, small right apical pneumothorax has marginally decreased. Right-sided effusion has slightly decreased. Subsegmental atelectasis in the right lower lobe has also decreased. The left lung is clear. Right-sided Port-A-Cath terminates in the low SVC. | 56179340 | INDICATION: ___ year old woman with lymphoma, pleural effusion and pneumothorax // please do at 6 Am on ___, eval for progression of pneumothorax TECHNIQUE: Portable | Tiny right apical pneumothorax, slightly decreased. |
13696732 | There is mild left apical thickening. The lungs are otherwise clear without consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. | 58254034 | INDICATION: Positive PPD. COMPARISONS: None. | No acute cardiopulmonary process; specifically no evidence of active tuberculosis. Mild left apical thickening is nonspecific and may represent old granulomatous disease. |
13465909 | There is elevation of the right hemidiaphragm. Overall, the lungs are otherwise hyperinflated. On the lateral view, there may be subtle increase in density in the posterior lung base which may be due to overlying structures although a consolidation is not excluded. Left basilar linear opacities suggest atelectasis/ scarring. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. There may be subtle callus formation at the lateral left seventh and ninth ribs which could be due to underlying subacute fractures. | 51093215 | WET READ: ___ ___ ___ 7:55 PM subtle callus formation at the lateral left seventh and ninth ribs which could be due to underlying subacute fractures. not optimally evaluated on this study. Correlate with patient history for acuity and consider additional imaging as clinically warranted. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with falls, ams // eval for pna TECHNIQUE: Chest Frontal and Lateral COMPARISON: None. | Elevation of the right hemidiaphragm. Questionable opacity projecting over the posterior lower lung on the lateral view, not well substantiated on the frontal view, which may project over the left lung base, consolidation not excluded. Subtle callus formation at the lateral left seventh and ninth ribs which could be due to underlying subacute fractures ; not optimally evaluated on this study. Correlate with patient history for acuity and consider additional imaging as clinically warranted. |
13465909 | The lungs are clear of focal consolidation. Left apical scarring is noted as well as right midlung opacity which is also likely scarring. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 59759617 | INDICATION: ___M with agitation // Eval infiltrate TECHNIQUE: Portable views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13465909 | There has been interval development of a retrocardiac opacity at the left lung base obscuring the left medial hemidiaphragm. Linear scar or atelectasis in the right mid and left lower lungs are unchanged. Cardiomediastinal contours are stable There is no evidence of pulmonary vascular congestion. | 52647855 | INDICATION: ___ year old man with ___'s, presenting with GNR bacteremia, likely GU in origin. // assess for pulmonary edema in setting of IVF rehydration for sepsis. TECHNIQUE: Portable chest radiograph COMPARISON: Chest radiograph dated ___. | New left retrocardiac opacity which may be due to atelectasis or pneumonia. |
13131199 | The trauma board overlies the patient and somewhat obscures the film. With this in mind, the lungs are clear. The cardiac silhouette is normal in size. There is no pleural effusion and there is no pneumothorax. | 58970873 | HISTORY: ___-year-old male in a motor vehicle accident. COMPARISON: None. TECHNIQUE: Single AP portable view of the chest. | No evidence of acute cardiopulmonary process. |
13530213 | PA and lateral views of the chest. The lungs, heart, mediastinum, hilum, and pleural surfaces are normal. No evidence of pneumonia. | 58813176 | FINAL ADDENDUM ADDENDUM: Additional information has been obtained from ___ Clinical Lookup since the approval of the original report. Reason for exam should also state cough with green phlegm. ______________________________________________________________________________ FINAL REPORT INDICATION: Question pneumonia. COMPARISON: Chest radiograph on ___. | No evidence of pneumonia. These findings were discussed with Dr. ___ at 11:35 a.m. on ___ by telephone. |
13854740 | Cardiomediastinal contours are normal. The lungs are hyperinflated and clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable | 50713842 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough // r/o pna TECHNIQUE: Chest PA and lateral COMPARISON: None | No acute cardiopulmonary abnormalities. Probably COPD |
13504375 | Study is somewhat limited due to patient rotation and the patient's chin projecting over and obscuring the lung apices. Lung volumes are low. The heart remains mildly enlarged with a left ventricular predominance. The aorta is tortuous. There is no pulmonary vascular congestion. Mediastinal and hilar contours are stable. There has been interval improvement in aeration of the right lung base, but persistent patchy opacities are seen within the left lung base. No large pleural effusion is seen, but a small left pleural effusion cannot be completely excluded. No pneumothorax. No acutely displaced fractures are seen. A remote right-sided rib fracture is noted. | 54924338 | HISTORY: Hypoxia after fall. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: Chest radiograph ___. | Patchy bibasilar airspace opacities, with interval improvement in aeration of the right lung base. Findings likely reflect atelectasis though infection or aspiration cannot be completely excluded. No pneumothorax. |
13504375 | Single AP upright portable view of the chest was obtained. Relative blunting of the left costophrenic angle is most likely due to overlying soft tissue. There is slight prominence of the pulmonary vasculature, which may be due to mild pulmonary vascular congestion in conjunction with relatively low lung volumes. No definite focal consolidation is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no evidence of a pneumothorax. | 50413146 | EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: Hypoxia, nausea. COMPARISON: None. | Possible mild pulmonary vascular congestion without definite focal consolidation. Consider dedicated PA and lateral views when/if patient able for further evaluation. |
13444220 | The lungs are grossly clear besides mild left basilar atelectasis. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities. Small right cervical rib is incidentally noted. | 58959404 | INDICATION: ___M with new 3rd degree heart block // eval for edema/infiltrate TECHNIQUE: Single portable view of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13930763 | The lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. | 52789114 | EXAMINATION: Chest radiographs. INDICATION: History: ___M with CP // infiltrate? TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute cardiopulmonary process. |
13993910 | ET tube terminates 5.2 cm above the carina. Left PICC terminates in upper SVC. A transesophageal tube courses below the diaphragm and out of view. Lung volume remains low. Cardiomediastinal silhouette is stable. There is persistent collapse of the left lower lobe and basal right lower lobe. Moderate bilateral pleural effusions are increased. | 53547963 | INDICATION: ___ year old man, intubated with septic shock s/p ileostomy, ___'s pouch for diverticular stricture; unclear source of infection // please assess for interval change TECHNIQUE: Frontal view of the chest COMPARISON: ___ | Moderate pleural effusions are increased than before. Both lower lobes are persistently collapsed. |
13993910 | Endotracheal tube terminates 7 cm above the carina. A left-sided PICC terminates in the upper SVC. The heart is within normal limits for size on this AP view. The pulmonary vasculature is engorged without overt pulmonary edema. There is free air under the right hemidiaphragm. Blunting of the costophrenic angles likely reflects small bilateral pleural effusions. Increased bibasilar opacities may reflect atelectasis or infection. | 59965111 | EXAMINATION: Chest radiograph INDICATION: ___ year old man with sepsis, intubated // ett placement picc line placement TECHNIQUE: AP views of the chest COMPARISON: None | Free air underneath the right hemidiaphragm may be related to recent abdominal surgery, however if there is concern for viscus perforation recommend CT. Small bilateral effusions and bibasilar opacities likely reflect atelectasis however infection aspiration should be considered. |
13993910 | Left PICC terminates in upper SVC. A transesophageal tube courses below the diaphragm and out of view. Lung volume remains low. Bilateral pleural effusions are small to moderate which appear more conspicuous than before, likely from difference in pleural fluid layering. Old healed right rib fractures are again noted. Cardiomediastinal silhouette is normal size. | 51604790 | INDICATION: ___ year old man extubated. Suspect hypervolemic and being actively diuresed. // Evaluate for interval changes TECHNIQUE: Frontal view of the chest COMPARISON: ___ | Bibasilar atelectasis and pleural effusions are stable. |
13993910 | Compared to the most recent prior radiograph, there has been interval placement of an enteric tube which terminates in the region of the stomach below the left hemidiaphragm. Intraperitoneal free air is re- demonstrated. Endotracheal tube terminates in similar position. A left-sided PICC terminates in the mid SVC. No pneumothorax. | 52914500 | EXAMINATION: Chest radiograph INDICATION: History: ___M with intubation, s/p OGT // OGT placement TECHNIQUE: AP views of the chest COMPARISON: Chest radiograph on ___ at 01:31 | Interval placement of an enteric tube which terminates in the region of the stomach. No pneumothorax. |
13993910 | Dobhoff tube in situ in the proximal to mid stomach. Left-sided PICC line in situ with the tip in the proximal SVC. No left-sided pneumothorax. Decreased lung volumes. Bibasal pleural effusions with associated atelectasis appear similar to slightly increased compared to previous imaging. No pulmonary edema. The heart size appears normal. Unfolding of the thoracic aorta are with associated atherosclerotic calcifications. | 59333799 | INDICATION: ___ year old man with pulmonary edema // F/U x-ray TECHNIQUE: Chest PA and lateral COMPARISON: ___. | Bilateral pleural effusions with associated bibasilar atelectasis appear relatively similar compared to ___, but appears increased in size compared to previous imaging done ___. No pulmonary edema. |
13309675 | A left Port-A-Cath is seen terminating in the upper to mid SVC. There is no evidence of pneumothorax. The lungs are well-expanded and clear. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion. There are no acute osseous abnormalities. | 53954197 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with rectal cancer // eval portacath position TECHNIQUE: Chest PA and lateral COMPARISON: CT chest dated ___. | Left Port-A-Cath terminating in the upper to mid SVC without evidence of pneumothorax. |
13309675 | Overall lung volumes are low.The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. A left Port-A-Cath terminates in the mid SVC. | 59144745 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with chest pain // Infiltrate, effusion, edema TECHNIQUE: Chest: Frontal and Lateral COMPARISON: Chest radiograph on ___ | No acute cardiopulmonary process. |
13416430 | The lungs are clear where not obscured by overlying leads. There is no obvious effusion or pneumothorax based on a supine film. The cardiomediastinal silhouette is within normal limits. No displaced acute fractures identified. Deformity of the distal right clavicle suggests prior healed fracture. | 59742179 | INDICATION: ___F with seizure, fall Eval for acute abnormality, trauma TECHNIQUE: Single supine view of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13302354 | Severe diffuse reticulation throughout both lungs, due to pulmonary fibrosis, could obscure concurrent pneumonia or interstitial pulmonary edema, although no consolidations are identified. Heart is moderately enlarged, unchanged past 3 hr. Pleural effusions are small if any | 56497163 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Worsening dyspnea. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Prior radiograph from ___. | No new focal consolidation. Probable small bilateral pleural effusions. Severe pulmonary fibrosis. Moderate cardiomegaly. |
13302354 | Severe generalized pulmonary reticulation due to pulmonary fibrosis could obscure either pneumonia or mild pulmonary edema. Heart is mildly enlarged. Pleural effusions are small if any. | 52870888 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Tachypnea. TECHNIQUE: Portable frontal view of the chest. COMPARISON: None available. | Severe pulmonary fibrosis. Concurrent pneumonia and pulmonary edema cannot be excluded |
13670041 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No definite acute fracture is seen however if there is clinical concern for sternal fracture, CT is more sensitive. | 53296064 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain. Tender over sternum // ?Pneumonia or fracture TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. No definite acute fracture is seen, however, if there is clinical concern for sternal fracture, CT is more sensitive. |
13670041 | Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen. The vertebral body heights and alignment appear maintained. | 55357443 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of fall one week ago with subsequent development of left lateral back pain with movement as well as anterior left chest pain with deep inspiration, question left rib fractures or spine fractures. COMPARISON: None. | No acute cardiopulmonary process. No displaced fracture is seen. If clinical concern for rib or spine fracture, suggest dedicated imaging of these structures. |
13730554 | Frontal and lateral views of the chest are obtained. Flattening and mild elevation of the right hemidiaphragm is chronic. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. Mitral annulus calcification is again noted. The cardiac silhouette is top normal. The aortic knob is calcified. A possible old-appearing fracture of the left posterior ninth rib is noted. | 56642084 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of pain after fall. COMPARISON: ___. | No acute cardiopulmonary process. |
13730554 | PA and lateral views of the chest were provided. There is stable pleural thickening at the right lung base, accounting for the blunted CP angle. There is no new consolidation or definite size of effusion or pneumothorax. There is calcification along the region of the mitral annulus again noted. The heart size is not enlarged. The mediastinal contour is stable and normal. There is no acute bony abnormality. No free air below the right hemidiaphragm is seen. | 51018510 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Chest CT from ___ and chest radiograph from ___. CLINICAL HISTORY: ___-year-old female with lightheadedness experienced with standing for two days and cough, question pneumonia. | No acute intrathoracic process. |
13730554 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax.Any consolidation at the right base has cleared. Calcified mitral annulus is similar to prior. Pleural thickening and blunting at the right base are similar to prior. | 50812496 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough x ___ year, resolved after antibiotics for new pneumonia seen in ___, but now cough returning // eval for resolution of pneumonia COMPARISON: Chest radiographs from___ | Any consolidation at the right base has cleared. No acute cardiopulmonary abnormality. |
13730554 | Frontal upright and lateral chest radiographs demonstrate well-expanded lungs bilaterally. Diffusely increased interstitial markings most notable at the lower lungs suggesting chronic interstitial lung disease, have not significantly changed, and there is no focal area of consolidation. Heart is normal in size. Calcifications are noted in the aortic arch. A cardiac stent is identified on the lateral view. Mild blunting of the right costophrenic angle has not significantly changed over multiple prior studies, suggesting a small right pleural effusion. | 56611918 | INDICATION: Complex medical history including renal transplant, past diagnosis of LVOT with recent cough and question of reactive airway secondary to viral infection. Earlier chest x-ray showed small pleural effusion. Please evaluate. COMPARISON: Multiple prior chest radiographs, most recently from ___. | Stable small right pleural effusion. No evidence of pneumonia |
13730554 | Chronic flattening of right diaphragm with right lower lobe atelectasis and small right pleural effusion. Hyperinflated lungs bilaterally without pulmonary edema or pneumothorax. Clear left lung withouth pleural effusion. Heart size is normal with a mildly enlarged left atrium and calcified mitral annulus. Mediastinal contours and hila are normal. No bony abnormality. | 59724157 | HISTORY: Female with cough, fever and decreased breath sounds in the right lower lobe. Assess for pneumonia. COMPARISON: Chest radiograph, ___, ___. TECHNIQUE: Frontal and lateral chest radiographs. | Stable chronic flattening and elevation of the right diaphragm, small pleural effusion, and right lower lobe atelectasis. No pneumonia. Results were conveyed via telephone to Dr. ___ by Dr. ___ on ___ at 1 p.m. within 10 minutes of results. |
13730554 | The mid-trachea is slightly deviated towards the left, which may be related to an enlarged thyroid gland seen on ___ CT. There is focal consolidation of the right lung base, which is localized to the right lower lobe on lateral view. This finding suggests pneumonia. Small right pleural effusion that is unchanged since ___. No left pleural effusion. No pneumothorax. Mild calcification of the aortic arch, as well as mitral annulus calcification. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 51220853 | EXAMINATION: Chest x-ray PA and lateral INDICATION: ___ year old woman with MMP including transplant/immune suppressive meds; has had cough for 10 months; interval x-rays unchanging and not showing PNA; 8 days ago was diagnosed with PNA by outside MD and treated w ___; // evaluate for evidence of resolving new process, change from our ___ priors; TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___ | Right lower lobe pneumonia. Recommend correlation with outside facility films to assess change. Stable small right effusion. |
13730554 | Frontal and lateral views of the chest were obtained. There is persistent blunting of the right costophrenic angle which may be due to pleural thickening. The left lung is clear. Evidence of mitral annulus calcification is seen. No definite new focal consolidation is seen. The cardiac and mediastinal silhouettes are stable. | 58469603 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Immunosuppressed status post kidney transplant, influenza-like illness, cough. COMPARISON: ___. | Persistent blunting of the right costophrenic angle without definite acute cardiopulmonary process. |
13224492 | An endotracheal tube terminates 5 cm above the level of the carina. An enteric tube courses through the esophagus, with an abnormal curvature to the left, within a moderate-sized retrocardiac hiatal hernia. The mediastinum and heart are shifted to the left due to volume loss and collapse of the left lower lobe. Left midlung linear atelectasis is noted, along with a layering left pleural effusion. There is no pneumothorax. The right lung is grossly clear. | 52878752 | EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___F s/p intubation // eval ETT position TECHNIQUE: Single portable radiograph the chest is obtained. COMPARISON: ___. | Left lower lobe collapse, with mediastinal shift, and elevated left hilus likely in part due to moderate hiatal hernia. Left pleural effusion and linear atelectasis. |
13224492 | The heart is normal in size. There is a new moderate sized hiatal hernia with streaky opacities in the left lower lobe which can probably be attributed to associated atelectasis. In addition, there is a small left-sided pleural effusion. Although a small portion of the right costophrenic sulcus is excluded, there is no evidence for pleural effusion on the right side. There is no free air. | 58604458 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Vomiting and hematemesis. COMPARISON: Remote prior study from ___. TECHNIQUE: Chest, AP portable upright. | New moderate to large hiatal hernia with associated suspected atelectasis. Small left-sided pleural effusion. |
13058112 | No focal consolidation is seen. The is eventration of the right hemidiaphragm. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable. No overt pulmonary edema is seen. | 57971475 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with afib presenting from home w lightheadedness // ?acute cardiopulmonary TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Mild cardiomegaly without overt pulmonary edema. |
13042648 | The patient is rotated. The opacity in the right lung appears more widespread now with greater involvement of the perihilar region silhouetting of the right heart border and right hemidiaphragm. Apparent increased rightward shift of the mediastinum may in part be secondary to volume loss as well as patient position. Right pleural effusion is moderate, probably slightly increased. Left lower lung atelectasis is probably unchanged - the left costophrenic angle is cut off from the image. Left lung edema as increased and new from the prior exam. Left lower lung consolidation may also reflect focus of pneumonia. Mild to moderate cardiomegaly is unchanged. No pneumothorax. The ETT is positioned is overall unchanged, approximately 7 cm from the carina. Right internal jugular venous catheter ends in the mid SVC, unchanged. Enteric tube traverses the diaphragm and its tip unseen. | 53312822 | EXAMINATION: Portable AP chest radiograph INDICATION: ___ year old man with Rlung infection. Assess right lung opacity progression. COMPARISON: Chest radiographs dated ___ and ___ | Slight interval progression of right lung consolidation which may reflect a combination of effusion, atelectasis, and/or pneumonia. New left lung edema and potential focus of pneumonia in left lower lung. |
13042648 | AP portable upright view of the chest. ET and NG tubes again noted. Extensive consolidation in the right lung again noted concerning for pneumonia. Left lung remains clear though the lung bases are excluded. | 59987820 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with PNA COMPARISON: Prior study from less than an hr earlier. | Unchanged extensive consolidation within the right lung remains concerning for pneumonia. |
13042648 | ETT in standard position. Enteric tube traverses the is tip is not seen. Right internal jugular venous catheter is unchanged. Overall no significant interval change in ___ multiple bilateral regions of focal opacification that are worse on the right. Background chronic scarring and emphysematous changes are likely unchanged. Minimal increase in opacity in the the right midlung all likely reflects a small amount of edema with redistribution. The heart size is unchanged and normal. The appearance of the mediastinum and hila are overall unchanged. Atelectasis bilaterally is also unchanged. No pneumothorax or large pleural effusion. | 55615687 | EXAMINATION: Portable AP chest radiograph INDICATION: ___ year old man with pna // eval for ett placement COMPARISON: Chest radiograph dated ___, earlier on the same day at 03:42. | Perhaps minimal mild edema. Otherwise no significant interval change. ETT in appropriate position. |
13042648 | The ETT ends approximately 8.5 cm from the carina. A right internal jugular venous catheter tip ends in the region of the cavoatrial junction, unchanged. Enteric tube traverses the diaphragm and its tip is not seen. Opacification of the right lung has markedly improved compared to the most recent exam. Moderate right pleural effusion persists. Moderate atelectasis and edema are improved in the right lung. Thyroid shift of the mediastinum compatible volume loss its chronic and present since at least ___. Small left pleural effusion is overall unchanged. Moderate edema in the left lung is minimally decreased. The heart is moderately enlarged, probably unchanged. No pneumothorax. | 53620130 | EXAMINATION: Portable AP chest radiograph INDICATION: ___ year old man with pna // eval for interval change in pna and pulm edema COMPARISON: Chest radiograph dated ___. Chest CT dated ___. | Interval improvement in aeration of right lung the with persistent atelectasis effusion and edema, now moderate. Minimally decreased left moderate edema and small effusion. ETT too high. |
13042648 | PA and lateral views of the chest provided. Opacity in the right mid to low lung a is new from prior exam with rightward shift of midline structures. The right upper lobe remains partially aerated. This overall appearance could represent effusion and consolidation though underlying malignancy is impossible to exclude. A small left effusion is also noted. The left lung is grossly clear. Heart size cannot be assessed. Mediastinal contour is difficult to assess given adjacent opacity and slight rightward mediastinal shift. Bony structures appear grossly intact. | 51313373 | WET READ: ___ ___ 5:06 PM Consolidation in the right mid to lower lung is new from prior exam and may represent consolidation/pneumonia with effusion though underlying malignancy impossible to exclude. Small left effusion. Consider CT to further assess. Followup to resolution advised. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with CP and recent PNA // r/o acute process COMPARISON: ___. CT chest dated ___. | Consolidation in the right mid to lower lung is new from prior exam and may represent consolidation/pneumonia with effusion though underlying malignancy impossible to exclude. Small left effusion. Consider CT to further assess. Followup to resolution advised. |
13042648 | Frontal and lateral chest radiographs demonstrate more extensive consolidation in areas previously abnormal in ___, but largely cleared a month ago, worst in the right middle and lower lobes, less extenive in the left lower lobe. The geographic and temporal pattern suggests a tendency to pneumonia, most commonly aspiration. Hyperexpansion from known emphysema is also appreciated. The cardiomediastinal silhouette is normal. | 51979059 | INDICATION: Fever and cough. Evaluation for pneumonia. COMPARISON: Chest radiograph ___. CT chest ___. | Recurrent right upper and bilater lower lobe pneumonia. Suggest followup radiographs in no more than 6 weeks to document clearing. Barium swallow would be indicated if there is clinical evidence of esophageal dysfunction of any sort. |
13042648 | AP portable semi upright view of the chest. Extensive consolidation within the right lung is concerning for pneumonia. The left lung is clear. The heart and mediastinal contour difficult to assess. Bony structures intact. | 51029438 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with COPD, respiratory distress // ? acute process COMPARISON: ___ | Extensive consolidation within the right lung is concerning for pneumonia. Followup to resolution advised. |
13042648 | AP portable semi upright view of the chest. There has been interval placement of a right IJ central venous catheter with its tip projecting in the expected region of the SVC. There is increasing consolidation within the right hemi thorax with air bronchograms concerning for pneumonia. There is shift of midline structures to the right suggesting also a component of right lung atelectasis. The left lung is hyperinflated. No pneumothorax. | 50689941 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with new central line // assess line COMPARISON: Prior exams from earlier today. | Worsening opacification of the right lung with new right IJ central venous catheter in place. |
13042648 | No significant interval change. Multiple bilateral regions of focal opacification, worse on the right, are minimally changed from the prior exam. Background chronic scarring and emphysema. Cardiomediastinal silhouette is unchanged. The right internal jugular venous catheter ends in the mid SVC, unchanged. ETT in standard position. Nasogastric tube courses along the midline but distally is not visualized on this image. Bilateral pleural effusions are unchanged. | 52607507 | EXAMINATION: Portable AP chest radiograph INDICATION: ___ year old man with PNA // interval change? COMPARISON: Chest radiograph dated ___. | No significant interval change. |
13042648 | Overall, the appearances are similar to the prior study. The opacities in the right lung are slightly improved. The previously seen question temperature probe is no longer visualized. Otherwise, lines and tubes and parenchymal findings are similar to the prior study. As before, the left hemidiaphragm and left costophrenic sulcus are excluded from the film. Incidental note is made of well corticated tapering of both collapse distal clavicles, question postsurgical. | 59915603 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with PNA intubated // interval change? COMPARISON: Chest x-ray from ___ at 333 | Very slight interval improvement in right lung opacities. Otherwise, I doubt significant interval change. |
13042648 | AP portable upright view of the chest. Please no, Lung bases are excluded. Patient has been intubated with the tip of the endotracheal tube residing 7.6 cm above the carinal. An NG tube is seen coursing inferiorly along the thoracic midline though the tip is not included within the imaged field. Extensive right lung consolidations again noted concerning for pneumonia. | 59099072 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with s/p intubation // ETT placement COMPARISON: Prior exam performed ___ min earlier. | As above. Consider advancement of the endotracheal tube for more optimal positioning. Tip of the OG tube not visualized. |
13042648 | Frontal and lateral chest radiographs were performed. The lungs are hyperexpanded from known emphysema. Consolidation at the lung base, side indeterminate, is best appreciated on the lateral view, si There is no pleural effusion or pneumothorax. The cardiac silhouette remains mildly enlarged. The mediastinal contours are unchanged. Degenerative changes of the shoulders are appreciated. The bones are osteopenic. | 51289886 | HISTORY: Cough and fever, evaluate for infiltrate. COMPARISON: Chest radiograph ___ and CT chest ___. | Recurrent lower lobe pneumonia. Followup radiographs in 6 weeks are recommended to document resolution. |
13512738 | Frontal and 2 lateral chest radiographs were obtained. Right basilar atelectasis is minimal. Right basilar scarring is similar. Cardiomegaly is unchanged. There is no consolidation effusion or pneumothorax. | 59362565 | HISTORY: Left chest pain. COMPARISON: ___ through ___. | No acute cardiopulmonary process. Stable basilar changes. |
13512738 | Mild cardiomegaly is re- demonstrated. Mediastinal and hilar contours are relatively unchanged with diffuse atherosclerotic calcification of the thoracic aorta again noted. There is no pulmonary vascular congestion. Focal patchy opacity is noted projecting over the left ___ anterior rib end, not clearly seen on the prior study. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There are multilevel degenerative changes in the thoracic spine. | 50471118 | HISTORY: Fever and congestion. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Focal patchy opacity projecting over the anterior aspect of the left 3rd rib end, concerning for an area of developing infection. |
13512738 | The patient is rotated to the right. Within this limitation, the cardiac and mediastinal silhouettes appear stable compared to the most recent prior examination ___ ___. Blunting of bilateral costophrenic angles may represent small pleural effusions versus pleural thickening. Right basal atelectasis is identified. No focal consolidation suggestive of pneumonia noted. Calcifications in the right lung base, unchanged from priors. | 50462156 | INDICATION: ___-year-old female with altered mental status. COMPARISON: ___. PA AND LATERAL CHEST | No definite acute cardiopulmonary process within limitation of patient positioning.Blunting of bilateral costophrenic angles may represent small pleural effusions versus pleural thickening. |
13512738 | Patient is rotated to her right, further distorting right hular and mediastinal contours. Pleural effusion if any, is minimal on the right. There could be a new right upper lobe nodule partially obscured by the right first rib. Heart is moderately enlarged. A large hiatal hernia is chronic. Partially imaged upper abdomen is unremarkable. | 54172760 | INDICATION: Altered mental status. COMPARISONS: CT of chest of ___ and chest radiograph from ___. | Possible right upper lobe lesion. Lordotic view recommended. ___ ___, MD and ___ discussed these findings by telephone, 2:15pm ___. Stable cardiomegaly and hiatal hernia. |
13011896 | Portable AP upright chest radiograph obtained. Dual-lead pacer is unchanged with proximal lead in the expected location of the right atrium and distal lead in the expected location of the right ventricle. The lungs appear clear. No free air below the right hemidiaphragm. Left CP angle partially excluded. | 56705913 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior CTA chest from ___ as well as a chest radiograph from ___. CLINICAL HISTORY: Abdominal pain, question free air. | No free air below the right hemidiaphragm. |
13011896 | Single supine AP portable view of the chest was obtained. Endotracheal tube terminates approximately 4.1 cm above the level of the carina, in appropriate position. A right-sided internal jugular central venous catheter is seen, which appears slightly high in position, terminating in the region of the right innominate vein/right internal jugular/innominate vein junction. There are low lung volumes, which accentuate the bronchovascular markings. The superior mediastinum appears widened, which may be accentuated by AP technique, supine position; if there is clinical concern for acute aortic process, suggest chest CTA. Mild bibasilar atelectasis seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal. | 55653244 | EXAM: Chest, single supine AP portable view. CLINICAL INFORMATION: ___-year-old male with history of intubation. COMPARISON: ___. | Endotracheal tube in appropriate position. Right internal jugular central venous catheter terminating at the right innominate vein/innominate-internal jugular junction, high in position. Widening of the superior mediastinum may in part relate to AP technique, supine position; however, if there is concern for acute aortic process, suggest chest CTA. Mild pulmonary vascular congestion. |
13174516 | Single AP upright portable view of the chest was obtained. There are low lung volumes accentuate the bronchovascular markings. Left basilar atelectasis is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. There is no evidence of free air beneath the diaphragms. | 58384656 | EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: Hypotension. COMPARISON: None. | Low lung volumes and left basilar atelectasis. No evidence of free air beneath the diaphragms. |
13174516 | Lung volumes are extremely low, resulting in bronchovascular crowding. No overt interstitial edema is identified. There is plate-like atelectasis within the left lung base. No confluent consolidation is evident. There is no pneumothorax. Cardiomediastinal and hilar contours are within normal limits on this portable AP examination. | 51131379 | INDICATION: ___-year-old female with decreasing oxygen saturation. COMPARISON: Chest radiograph from ___ at 22:47 and CT abdomen and pelvis from ___ at 22:52. PORTABLE FRONTAL CHEST | No evidence of pulmonary edema. Subsegmental left basilar atelectasis. |
13016981 | Frontal and lateral views of the chest were obtained. There has been interval removal of previously seen right-sided PICC. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is minimal atelectasis/scarring at the left costophrenic angle. The cardiac silhouette is not enlarged. Mediastinal contours are stable. | 56511014 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Cholangiocarcinoma, on chemo, presenting with fever. COMPARISON: ___. | No focal consolidation to suggest pneumonia. |
13016981 | PA and lateral views of the chest. Prior right PICC is no longer visualized. The lungs are clear of consolidation or effusion. Known pulmonary nodules are not clearly delineated on the current exam. The cardiomediastinal silhouette is normal. No acute osseous abnormality is detected. | 51622852 | HISTORY: ___-year-old male with stage ___ cholangiocarcinoma presents with fever. COMPARISON: ___. Chest CT from ___. | No acute cardiopulmonary process. |
13575992 | Patient is status post median sternotomy. Again, it least the upper to sternotomy wires are fractured in several locations. Retained percutaneous ventricular pacer lead fragments are unchanged. Left-sided catheter appears to terminate in the left axilla ; if this is a PICC, it is high in position, terminating in the region of the left axillary vein. Subtle left mid to lower lung opacity is grossly stable. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable. | 56009708 | WET READ: ___ ___ ___ 7:40 PM Left-sided catheter terminate in the left axilla ; if this is a PICC, it is high in position, terminating in the region of the left axillary vein. Persistent, grossly stable left mid to lower lung opacity. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with tachypnea // eval heart and lungs, L PICC placement TECHNIQUE: Chest Frontal and Lateral COMPARISON: ___ | Left-sided catheter terminate in the left axilla ; if this is a PICC, it is high in position, terminating in the region of the left axillary vein. Persistent, grossly stable left mid to lower lung opacity. |
13575992 | AP single view of the chest has been obtained with patient in supine position. Analysis is performed in direct comparison with the next preceding similar study obtained eight hours earlier during the same day. The left-sided basal density that obliterates the diaphragmatic contour and widens the space of the lateral pleura along the chest wall remains and may have even increased slightly. Aerated volume of the left lung appears compromised. Comparison is made with the next previous PA and lateral chest examination of ___. The position of the previously described left-sided chest tube is unchanged, terminates in the axillary area where its final tip is slightly bent in caudal direction. Provided that chest tube drainage is free, one would have expected some reduction in the densities if caused by pleural effusion. One therefore should also consider hematoma formation within the chest wall itself following the thoracic surgical placement of the epicardial electrodes to the lateral wall of the left ventricle. Position of previously described permanent pacer with ICD and right atrial electrode remains as before. | 55648744 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient with recent chest tube placement, evaluate hemothorax. | Situation was discussed with referring physician, ___. ___ ___. Hematocrit remains stable. If surgical revision is required, one should consider also sizable chest wall hematoma rather than pleural effusion alone. |
13575992 | The upper 2 sternotomy wires are fractured, unchanged. A left IJ central venous catheter projects over the upper SVC. There is no pneumothorax. Retained pacer leads are again noted. Lung volumes are low, but the lungs are grossly clear. Mild cardiomegaly despite the projection is stable. | 55731388 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with ESRD on HD, known MRSA bacteremia. Now dyspneic with decreased breath sounds on the left. // Please eval for PTX, volume overload, infiltrate. TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: ___. | No significant interval change. |
13575992 | A single portable AP chest radiograph was obtained. The imaged field of view excludes the inferior right costophrenic angle. Lung volumes are low. A right basilar opacity is insufficiently assessed. There is no focal consolidation, effusion, or pneumothorax. Mild cardiomegaly is stable. The epicardial and dual-chamber intracardiac pacing leads are in stable position. The upper 2 sternal wire remain fractured. The tip of a right-sided tunneled central catheter terminates in the right atrium. | 59721465 | HISTORY: Fever. COMPARISON: ___. | Low lung volumes. A repeat exam with better inspiration, ideally a PA and lateral film, should be obtained to better assess the right base for focal consolidation. |
13575992 | Moderate cardiomegaly is unchanged. The hilar and mediastinal contours are normal. Moderate interstitial edema, with more confluent opacification at the left base, has slightly worsened since the prior study. A small left pleural effusion is unchanged. A left chest wall AICD device is seen with leads in expected position of the right atrium and right ventricle. Two upper sternotomy wires remain disrupted. Two epicardial leads are also unchanged in position. | 59691712 | INDICATION: ___-year-old man with congestive heart failure and pulmonary edema. COMPARISON: Chest radiograph, ___. PORTABLE PA CHEST | Mild worsening of interstitial pulmonary edema. |
13666938 | Frontal and lateral views of the chest were obtained. There is mild left base atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal. | 53355174 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of five days of fever, productive cough, headache. COMPARISON: ___. | Mild left base atelectasis. Otherwise, no acute cardiopulmonary process. |
13568398 | Right lung base opacity is increased and left lung base opacity is new since ___. The opacity at the right lung base is larger than left. Findings are suggestive of superimposed pulmonary edema in the setting of right lung base pneumonia. Lungs are hyperinflated. Emphysema and biapical scarring are similar as before. Enlarged right hilar silhouette is again noted. There is no pneumothorax. Bilateral pleural effusions are small. Cardiac silhouette is normal size. | 56379422 | INDICATION: ___ year old man with copd and lung ca now w/ acute hypoxia and SOB // evaluate for acute process EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable chest radiograph frontal view COMPARISON: Chest radiograph ___ | Increasing bibasilar opacities as well as small bilateral pleural effusions are likely due to increased superimposed pulmonary edema in setting of right pneumonia. |
13568398 | Severe hyperexpansion of the lungs with coarsening of the interstitial markings, related to COPD. The right hilar mass is again demonstrated. No acute focal consolidation. A right-sided small effusion has developed with associated atelectasis. No pneumothorax. | 56551151 | INDICATION: ___ year old man with COPD and new diagnosis of lung cancer (pathology pending) s/p silicone stent placement in bronchus with worsening dyspnea and leukocytosis // please assess for new infiltrate, lobar collapse TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Severe hyperinflation and COPD. Trace right-sided effusion is seen. |
13743849 | PA and lateral views of the chest provided. Overlying EKG leads. ___ pins overlie the right shoulder. Cardiomegaly is moderate. Lungs are clear without signs of edema or congestion. No large effusion or pneumothorax. No convincing evidence for pneumonia. Mediastinal contour is normal. Bony structures are intact. | 50209503 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // pna? COMPARISON: None | Moderate cardiomegaly without signs of edema or pneumonia. |
13743849 | Low lung volumes are low, accentuating the heart size and the interstitial markings.There mild bibasilar atelectasis. Otherwise, the lungs are clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stably moderate enlarged. | 51015300 | EXAMINATION: Chest: Frontal and lateral views INDICATION: ___F w/weakness, please eval for occult PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. Stable moderate cardiomegaly. |
13666616 | Multiple right-sided rib fractures are again seen; a fracture through the right lateral 8th rib appears new compared to most recent prior exam. The lungs are again noted to be hyperinflated. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The aorta is tortuous and calcified. Heart and mediastinal contours are stable. | 59216207 | HISTORY: ___-year-old female with question of fall 4 days ago, now with right thoracic pain. Technique: Frontal and lateral chest radiographs were obtained. COMPARISON: ___. | New right 8th rib fracture compared to ___ with additional right rib fractures and deformities, as seen previously. Findings were discussed with ___ by ___ by telephone at 9:30 a.m. on ___ at the time of initial review of the study. |
13666616 | Flattening of diaphragms and interstitial prominence reflects COPD. No focal consolidation, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal. Multiple old healed rib fractures are again seen. | 51224315 | INDICATION: ___-year-old woman with chronic cough. COMPARISONS: ___ to ___. | Findings consistent with COPD. No acute cardiopulmonary process. |
13666616 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged with tortuous thoracic aorta again noted. No acute bony abnormality. Numerous chronic fractures of the right posterolateral ribcage re- demonstrated. No free air below the right hemidiaphragm is seen. | 51750811 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough and chills. s/p fall // Pneumonia? COMPARISON: Prior study dated ___ | No acute intrathoracic process. |
13666616 | There is a mildly displaced left lateral DID rib fracture. No additional acute rib fractures are detected. There are multiple chronic appearing right-sided rib fractures, unchanged from prior studies. There is no focal consolidation,, pulmonary edema, or pneumothorax. A left pleural effusion is small. Cardiomediastinal silhouette, including a mildly tortuous descending aorta is unchanged. | 55980769 | WET READ: ___ ___ ___ 1:04 AM 1. Mildly displaced left lateral tenth or eleventh rib fracture. 2. Small left pleural effusion. 3. Multiple chronic appearing right-sided rib fractures. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with pain s/p fall, evaluate for evidence of left lower rib fractures. TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dating back to ___ | Mildly displaced ACUTE LATERAL LEFT tenth or eleventh rib fracture. Small left pleural effusion. Multiple chronic appearing right-sided rib fractures. |
13666616 | Patient is rotated to the left.Patchy right base opacity raises concern for pneumonia or aspiration. Left base atelectasis is seen. No large pleural effusion is seen. Mid lung linear atelectasis/ scarring is again seen on the lateral view. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 58666639 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with confusion // ? PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Patchy right base opacity concerning for pneumonia or aspiration. |
13666616 | There is increased opacification within the lower lobes bilaterally, consistent with multifocal aspiration pneumonia. The lungs are hyperinflated, consistent with COPD. The pulmonary vasculature is normal. There is stable enlargement of the cardiac silhouette. The descending aorta is tortuous, but unchanged. No pleural effusion or pneumothorax is seen. Chronic right-sided rib fractures are re- demonstrated. | 54145574 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough // r/o aspiration pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Increased opacification with the lower lobes bilaterally, consistent with multifocal aspiration pneumonia. Hyperinflation consistent with COPD. Multiple chronic right-sided rib fractures. |
13842941 | Streaky left basilar opacity suggests minor atelectasis. Widening of the mediastinum without obscuration of the right hilum is of unclear clinical significance. A tortuous aorta is present. The cardiac contour is unremarkable. There is no pleural effusion or pneumothorax. | 53708810 | INDICATION: ___-year-old male with chest pain and some shortness of breath. Evaluate for evidence of pneumonia. COMPARISON: None available. TECHNIQUE: Portable upright chest radiograph. | Apparent mediastinal widening of unclear clinical significance but likely due to unfolding aorta. However, given that there is no prior study for comparison, PA and lateral chest radiographs should be performed for more detailed assessment. |
13259733 | Low lung volumes are present which accentuates the size of the cardiac silhouette which appears borderline enlarged. Mediastinal and hilar contours are normal. No pulmonary edema is demonstrated. Patchy opacity in the left lung base likely reflects a small pleural effusion and possibly atelectasis in the adjacent lung, though infection is difficult to exclude. No pneumothorax is seen. Cervical spinal fusion hardware is noted. | 51365582 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with dyspnea // evidence of infection TECHNIQUE: Semi-upright AP view of the chest COMPARISON: None. | Left basilar patchy opacity likely reflects a combination of a small left pleural effusion with adjacent atelectasis, but infection is not excluded in the correct clinical setting. |
13806328 | The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Healed fractures of the posterior right fourth, fifth and sixth ribs are unchanged. | 55587342 | INDICATION: Partial seizure.? pneumonia. COMPARISONS: Multiple prior radiographs of the chest, most recent ___. TECHNIQUE: PA and lateral upright radiographs of the chest. | Multiple healed rib fractures, otherwise, normal chest radiograph without evidence of pneumonia. |
13806328 | PA and lateral views of the chest provided. Lungs are hyperexpanded without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Right upper lung calcified granulomas are present. Note is made of old right rib fractures. | 59209828 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with cough, hx pneumonia ___ // r/o pneumonia; please wet read and page Dr ___ beeper ___ with results COMPARISON: Multiple chest radiographs, most recent ___ | No acute intrathoracic process. |
13806328 | The lungs are hyperinflated and clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm. There are right upper lung calcified granulomas. Old right rib fractures are noted. | 50748994 | INDICATION: ___M with right sided chest pain, decreased exercise tolerance // Any pneumonia, cardiomegaly, pneumo. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiograph ___. | No acute intrathoracic process. |
13806328 | PA and lateral chest radiographs were obtained. The lungs are well inflated. Apparent blunting of the left costophrenic angle is associated with stable appearance to mediastinal fat. No new consolidation, effusion, or pneumothorax is present. Right upper lobe scattered granulomas are stable. The fractures of the posterior right fourth, fifth, and sixth ribs are old. An anterior right fifth rib fracture may be new or artifactual. No new displaced fractures are identified. The cardiac and mediastinal contours are normal. | 59839432 | INDICATION: ___-year-old man with anterior right sternal rib pain for six months. History of rib 7 through 9 fracture in the medial axillary line in ___. COMPARISONS: ___ to ___. | Several old right posterior, anterior, and lateral rib fractures. Potential right anterior fifth rib fracture. A rib series with a radiopaque marker placed at the site of pain would be more sensitive. |
13806328 | Frontal and lateral views of the chest were obtained. Subtle increased haziness at the left base is seen, which may be due to atelectasis although early consolidation is not excluded in the appropriate clinical setting. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Old fracture deformities of the posterior right ___ through 6th ribs are stable. | 57652713 | HISTORY: Previous brain met resection with left arm tingling. TECHNIQUE: Chest frontal and lateral views. COMPARISON: ___. | Subtle haziness at the lateral left lung base which could relate to atelectasis but early consolidation is not excluded in the appropriate clinical setting. |
13681651 | Compared to the prior study the pulmonary edema continues to improve. However there is persistent increased opacity in the right upper lung which could reflect residual asymmetric pulmonary edema but an underlying infectious process is possible. Stable top-normal heart size. The small left pleural effusion persists with associated atelectasis. No pneumothorax. | 57700537 | INDICATION: ___ year old woman with COPD s/p AAA rupture, ex-lap for hematoma evac, now closed w/O2 requirement and pulm edema. // Eval pulm edema TECHNIQUE: Chest PA and lateral COMPARISON: ___. | Improvement in pulmonary edema now with asymmetric opacification of the right upper lung which could reflect asymmetric residual pulmonary edema; however, underlying infectious process is possible. |
13681651 | Interval increase in heart size, dilatation of the azygos vein, widened vascular pedicle and cephalization of upper lobe pulmonary blood vessels. Mild indistinctness of the blood vessels. No large effusion. No airspace consolidation. Subsegmental atelectasis in the left lung base. | 56128398 | INDICATION: ___ year old woman with PMH rAAA s/p EVAR req ex-lap for hematoma evac, PAD s/p L fem-peroneal bypass, now s/p b/l iliac stents to re-seal EVAR graft for re-rAAA // new oxygen requirement postoperatively TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Findings in keeping with pulmonary edema. |
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