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13396545 | The patient is rotated to the left. There are low lung volumes which accentuate the bronchovascular markings. Patchy left basilar opacity could be due to atelectasis versus aspiration versus infection. No large pleural effusion is seen although trace pleural effusion would be difficult to exclude given the low lung volumes. No evidence of pneumothorax. Cardiac and mediastinal silhouettes are stable. | 56118885 | HISTORY: Altered mental status. TECHNIQUE: AP upright portable view of the chest. COMPARISON: ___. | Patient rotated to the left. Low lung volumes. Patchy left basilar opacity could relate to atelectasis versus aspiration versus infection. |
13396545 | Lung volumes are low. Heart size is borderline enlarged, and accentuated due to the low inspiratory lung volumes. The aorta remains mildly tortuous. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. | 55343541 | HISTORY: Altered mental status. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | Low lung volumes. No acute cardiopulmonary abnormality. |
13396545 | Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. Small left-sided pleural effusion and bibasilar atelectasis are stable. No pneumothorax. Stable cardiomediastinal silhouette. Right-sided PICC line ends in the right atrium, and should be pulled back 3 cm for positioning at the cavoatrial junction. | 57944474 | INDICATION: ___ year old woman with new picc // R picc ___ ___ TECHNIQUE: Portable chest x-ray. COMPARISON: Prior chest radiographs dated ___ through ___. | Right-sided PICC line ends in the right atrium, and should be pulled back 3 cm for positioning at the cavoatrial junction. |
13396545 | AP and lateral views of the chest. Low lung volumes are again noted. The lungs however are clear without effusion or consolidation. Cardiomediastinal silhouette is within normal limits. Tortuosity of the aorta is again noted. The no acute osseous abnormality detected. | 50972946 | HISTORY: ___-year-old female with altered mental status. COMPARISON: ___. | No acute cardiopulmonary process. |
13772123 | Frontal and lateral chest radiographs again demonstrate a heart which is top-normal in size. Sternal wires appear intact. The lungs are hyperinflated, without focal consolidation or appreciable pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable. | 58699786 | INDICATION: Evaluate for pneumonia in a patient with shortness of breath. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, ___, ___. | No acute cardiopulmonary process. Hyperinflated lungs, unchanged. |
13772123 | Patient is status post median sternotomy and CABG. Heart size is top normal. Aorta is tortuous, unchanged. Mediastinal and hilar contours are otherwise similar from the previous study. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Minimal patchy atelectasis is noted lung bases. There are mild degenerative changes seen within the thoracic spine. | 51943623 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
13772123 | There is interval development of a small focal area of heterogeneously increased density projected in the anterior segment of the right upper lobe on the PA view. It is not well seen on the lateral view. The lungs appear otherwise clear. The patient is status post median sternotomy and CABG as before. The aorta is tortuous and calcified. Mediastinal structures are stable. The bony thorax is grossly intact. There are degenerative changes in the spine. | 54587702 | EXAMINATION: CHEST (PA AND LAT) CLINICAL HISTORY History: ___M with cough, congestion, sob // eval for infiltrate eval for infiltrate COMPARISON: ___ | Interval development of increased density in the right upper lobe consistent with pneumonia. |
13772123 | Heart size is top normal. Lungs are hyperinflated without focal consolidation, pleural effusion, or pneumothorax. Bibasilar atelectasis is mild. Intact median sternotomy wires. The aorta is calcified and tortuous. | 50950664 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with weakness and SOB and weight loss x 2 weeks. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray of ___ and ___. | No new focal consolidation concerning for pneumonia. |
13642144 | Endotracheal tube tip terminates approximately 7 cm from the carina. Enteric tube is distally coiled within the stomach which demonstrates moderate gaseous distension. Heart size is normal. Widening of the superior mediastinum is likely due to a combination of low lung volumes and AP technique with a tortuous aorta also noted. There is crowding of bronchovascular structures as a result of low lung volumes without overt pulmonary edema. Patchy opacities in the lung bases may reflect atelectasis. No focal consolidation, large pleural effusion or pneumothorax is seen. No acute osseous abnormality is clearly seen. | 50709690 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with PEA arrest, unresponsive // evaluate for tube placement TECHNIQUE: Semi-upright AP view of the chest COMPARISON: None. Patient is currently listed as EU critical. | Endotracheal and enteric tubes in standard positions. Persistent moderate gaseous distension of the stomach. Low lung volumes with bibasilar atelectasis. Widening of the superior mediastinum is likely due to combination of low lung volumes and tortuosity of the thoracic aorta. This can be better assessed with repeat views with improved inspiratory effort, or alternatively chest CTA can be obtained for further assessment there is concern for an acute process. |
13642144 | Lung volumes are moderate. There is minimal streaky density bilaterally consistent with subsegmental atelectasis. The lungs are otherwise clear. There is no focal consolidation. The heart and mediastinal structures are unremarkable for technique. An endotracheal tube and nasogastric tube remain in place. There are no concerning bone findings. | 53779035 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: eval for pneumonia TECHNIQUE: AP chest x-ray COMPARISON: ___ | No evidence of pneumonia. |
13699008 | Moderate to severe enlargement of the cardiac silhouette is present. The aorta is mildly tortuous with atherosclerotic calcifications noted at the aortic knob. The pulmonary vasculature is normal and the hilar contours are unremarkable. Minimal atelectasis in the lung bases is demonstrated with longitudinally oriented linear opacity in the right lung base, likely an area of scarring. Remainder of the lungs are clear without focal consolidation. No pneumothorax or pleural effusion is evident. There mild degenerative changes seen in the thoracic spine. | 56711392 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fall with headstrike, left periorbital ecchymosis TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13580159 | Left-sided pneumothorax is seen, small to moderate in size. Surgical chain sutures seen at the left hilum and left lung apex. The lungs are otherwise clear. The lower trachea and mediastinum are slightly shifted to the right. Cardiomediastinal silhouette is otherwise within normal limits. No acute osseous abnormalities. | 59702375 | WET READ: ___ ___ 5:12 PM Small to moderate left-sided pneumothorax. Mild rightward mediastinal shift. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with pneumothorax // eval for pneumothorax. Please perform UPRIGHT TECHNIQUE: Single portable view of the chest. COMPARISON: None. | Small to moderate left-sided pneumothorax. Mild rightward mediastinal shift. |
13580159 | The left lung has re-expanded with post surgical changes at the apex. No residual pneumothorax. The lungs are well inflated and clear. Cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion. | 56337845 | INDICATION: ___ year old man with left pneumothorax. Evaluate for interval change. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | Interval resolution of the left apical pneumothorax. Clear lungs. |
13580159 | Small to moderate left pneumothorax is stable. Mild right shifting of the mediastinum is stable Cardiac size is normal. Aside from minimal atelectasis in the left apex, the lungs are clear. There is no pleural effusion. | 57316325 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with L recurrent ptx // please eval for interval changeplease perform prior to 8AM TECHNIQUE: Single frontal view of the chest COMPARISON: ___. | Stable small to moderate left pneumothorax and shifting of the cardiomediastinum to the right |
13090933 | There is minimal left base atelectasis. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal. There is no overt pulmonary edema. | 50176947 | HISTORY: Spinal stenosis, pre-op. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13763479 | The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. | 53990760 | WET READ: ___ ___ ___ 3:09 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with palpitations and bradycardia // ? pneumonia, widened mediastinum, cardiomegaly TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: Chest x-ray dated ___. | No acute cardiopulmonary process. |
13763479 | The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. | 55751008 | WET READ: ___ ___ ___ 7:21 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with headache no prior imaing cxr and right shoulder pain on predisone // CT-heave for headachecxr eval for right shoulder painshoulder eval for shoulder TECHNIQUE: Chest PA and lateral COMPARISON: None | No acute cardiopulmonary abnormality. |
13705993 | Cardiomediastinal silhouette is unremarkable. Lung volumes are slightly low and there is persistent eventration of the right hemidiaphragm, limiting evaluation of the right lower lobe. There is bibasilar atelectasis without large pleural effusions, focal consolidation, or pneumothorax. | 50729831 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with fever. Evaluate for pneumonia. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiographs of ___ and ___. | No focal consolidation on single AP view. However, for full evaluation of the right lower lobe, recommend lateral chest x-ray, when the patient is able to tolerate. |
13705993 | The cardiac silhouette is normal in size. The hilar and mediastinal contours are within normal limits. There is mild bibasilar atelectasis. No focal consolidation or pneumothorax. | 59427289 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with hypotension hd // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | Mild bibasilar atelectasis. No focal consolidation. |
13705993 | Degree of inspiration is small with results in crowding of bronchovascular markings at the bases, however even taking this into account, there is probably some streaky left retrocardiac subsegmental atelectasis. No parenchymal or hilar mass is seen and no pleural fluid is present. No central pulmonary vascular congestion or edema is present and cardiac size is within normal limits. Thoracic vertebral bodies appear demineralized from maintained in height alignment. | 53297596 | FINAL ADDENDUM ADDENDUM There is no evidence of tuberculosis. ______________________________________________________________________________ FINAL REPORT INDICATION: ___ year old woman with ESRD secondary to polycystic kidney disease here for initiation of HD. // Screening CXR prior to initiation of HD TECHNIQUE: Chest PA and lateral COMPARISON: None | Left retrocardiac subsegmental atelectasis, possibly exaggerated due to small lung volumes. |
13713087 | Frontal and lateral chest radiographs demonstrate a normal cardiac silhouette. The aorta is tortuous or dilated, with calcifications seen within the aortic knob. The lungs are moderately hypoinflated, with atelectasis at the left base. No focal consolidation, pleural effusion, or pneumothorax is seen. The visualized upper abdomen is unremarkable. | 53607748 | INDICATION: Acute on chronic full-body burning sensation. COMPARISON: None available. | No acute cardiopulmonary process. The aorta is either tortuous or dilated. These cannot be differentiated radiographically. |
13088357 | Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities. | 51344126 | HISTORY: HIV/AIDS dizziness and weakness. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13074701 | AP and lateral upright chest radiograph demonstrates clear lungs bilaterally with no focal consolidation concerning for pneumonia. There is no pleural effusion. Prominence of the left hilum thought to reflect a tortuous descending aorta. The right heart border is obscured on the frontal view, which does not correlate to an abnormality on lateral view. This is thought to reflect atelectasis. Diffuse mild interstitial markings is identified with mild bronchial wall thickening within the lower lungs. No acute osseous abnormality is identified. | 51283094 | INDICATION: ___-year-old male with history of subdural with altered mental status. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Mild interstitial abnormality with mild bronchial wall inflammation. This may reflect early edema. No focal consolidation convincing for pneumonia is identified. |
13074701 | Right lower lobe opacity most likely represents atelectasis. Mild cardiomegaly is stable since ___. There is no new opacity, pleural effusion or pneumothorax. The mediastinal contours are normal. | 51660905 | INDICATION: ___-year-old man with weakness. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | No new opacity concerning for pneumonia. |
13074701 | Mild cardiomegaly is unchanged since the prior study. No new focal consolidation, pleural effusion, or pneumothorax. Right lower lobe opacity is likely atelectasis. Lung volumes are low, causing bronchovascular crowding. | 52481244 | WET READ: ___ ___ ___ 4:13 PM No acute intrathoracic process. Low lung volumes. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with weakness, s/p fall this AM. Evaluate for acute cardiopulmonary process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs of ___ and ___. | No acute intrathoracic process. Low lung volumes. |
13074701 | Heart size is exaggerated by AP technique and likely normal. The lung apices are not included in view. The remaining lung fields are clear. There is no large pleural effusion. Dobbhoff tube courses below the left hemidiaphragm with its tip and side port projecting over the left upper quadrant, likely in the stomach. | 55434225 | INDICATION: ___ year old man with new NG tube placmeent // confirm ng tube TECHNIQUE: Portable AP chest and upper abdomen COMPARISON: Chest radiographs ___ and ___ | Dobbhoff tube projecting over the left upper quadrant is likely in the stomach. |
13074701 | Support Devices: None. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. | 50306231 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with subdural hemorrhages and fever. Evaluate for new focal opacity. COMPARISON: A series of chest radiographs, most recently from ___. | No focal airspace opacity is seen. |
13752306 | The lungs are clear of focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. | 58997807 | INDICATION: ___M with chest pain // cardiopulm process? TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13569498 | Lung volumes are low, somewhat accentuating pulmonary vascular markings. Bibasilar opacities present in the prior radiograph are still apparent, although substantially less so. The upper lungs appear clear. Cardiomediastinal silhouette and hilar contours appear normal. | 57889652 | HISTORY: ___-year-old man with pneumonia. Question changes. COMPARISON: ___. | Resolving opacities in the lower lung. |
13569498 | Single AP upright portable chest radiograph was obtained demonstrating lower lung airspace opacities which are concerning for pneumonia. Small effusions would be difficult to exclude. Heart size is difficult to assess but appears grossly unchanged. No pneumothorax is seen. Bony structure is intact. | 58016547 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Hypoxia, assess for pneumonia. | Opacities in the lower lungs concerning for pneumonia. |
13569498 | Frontal and lateral views of the chest were obtained. Bibasilar and lingular opacities are seen, worrisome for multifocal pneumonia. Findings appear increased from the prior study, although there are lower lung volumes on the prior study. No large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. There are air-distended loops of bowel in the upper abdomen, not well evaluated. If clinical concern, suggest dedicated abdomen radiographs. | 56154028 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of cough. COMPARISON: ___. | Left greater than right bibasilar and lingular opacities worrisome for pneumonia, increased as compared to the prior study. Recommend followup to resolution. If findings persist four to six weeks after acute treatment, suggest chest CT to exclude underlying obstructive process. |
13131588 | Frontal and lateral views of the chest. There is left basilar opacity which is thought to represent at least some component of pleural effusion and atelectasis, noting that underlying infection is also possible. Fluid also seen tracking along the left major fissure and lateral to the lung more superiorly. The right lung remains clear. Cardiac silhouette is difficult to assess given silhouetting on the left. Atherosclerotic calcifications seen in the arch and descending thoracic aorta. Tubing overlying the anterior aspect of the chest is likely a ventriculoperitoneal shunt. Lower thoracic/upper lumbar dextroscoliosis is noted. | 54615650 | CHEST TWO VIEWS, ___ HISTORY: ___-year-old female with a period of hypotension and confusion, now improved. COMPARISON: Outside plain film performed at ___ from earlier the same day. | Left base opacity thought to represent at least some component of pleural effusion also tracking laterally and within the major fissure. There is likely underlying atelectasis with infection not excluded. |
13994695 | Portable AP upright chest radiograph provided. Patchy consolidation is seen in the lower lungs concerning for pneumonia. A component of underlying edema is difficult to exclude in the correct clinical setting. No large effusion or pneumothorax is seen. The heart size is top normal. The aorta appears unfolded likely accounting for the mild mediastinal prominence. There is no pneumothorax. Bony structures are intact. | 51536719 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Altered mental status with hypoxia. | Consolidations in the lower lungs concerning for pneumonia. |
13994695 | Heterogeneous opacities in the left mid to lower lung as well as the right lower lung are similar to the prior study from ___ allowing for differences in patient positioning, concerning for multifocal pneumonia. There are no definite pleural effusions. No pneumothorax. The cardiac and mediastinal contours are not significantly changed, allowing for difference in patient rotation. | 54440740 | INDICATION: ___'s disease, presenting with hypoxia and altered mental status. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___. | Multifocal pneumonia, similar to the prior study from ___. |
13158876 | Frontal view of the chest was obtained. The heart is of top normal size, similar to prior. Cardiomediastinal contours are stable. Left apical nodular opacity is similar to prior. No focal consolidation, pleural effusion, or pneumothorax is visualized. Several metallic clips are seen in the right upper quadrant. | 58331949 | INDICATION: ___-year-old female with hypotension and hypoxia. Evaluate for pneumonia or pneumothorax. COMPARISONS: Multiple prior chest radiographs, most recently of ___. | No acute cardiopulmonary process. Left apical nodule, similar to prior. |
13158876 | A new right IJ catheter terminates in the right atrium. The heart size is top normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, pleural effusion, or focal consolidation. The patient is post cholecystectomy. A left upper lobe pulmonary nodule is better seen on the CT from ___. | 56801493 | WET READ: ___ ___ 3:13 PM New right IJ central venous catheter terminating at the upper right atrium. No pneumothorax. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT HISTORY: New right IJ catheter. TECHNIQUE: Frontal chest radiograph. COMPARISON: Radiograph ___. CT Torso ___. | New right IJ central venous catheter terminating at the right atrium. No pneumothorax. |
13101078 | Single AP chest radiograph demonstrates interval placement of an enteric tube, which appears to traverse the thorax along the expected course of the esophagus. Its terminal tip appears to project within the stomach in appropriate position. An endotracheal tube is identified, in appropriate position 5.2 cm from the carina. There has been little interval change when compared to prior examination obtained 2 hr previously. Cardiomediastinal and hilar contours are stable. Several left-sided rib fractures are noted with no pneumothorax identified. No focal consolidation convincing for pneumonia is identified. Elevation of the right minor fissure reflect right upper lobe atelectasis. A right paratracheal hilar calcification is thought to possibly reflect a calcified node. | 51373375 | INDICATION: ___-year-old female status post intubation and orogastric tube placement. COMPARISON: Radiograph obtained the same day, ___ min previously. | Orogastric tube in appropriate position. No significant changes since prior study obtained 8 minutes previously. |
13101078 | Endotracheal tube is seen, terminating approximately 5 cm above the level of the carina. The patient is rotated to the right. Dense right lower paratracheal opacity measuring 2 point 3 by 1.1 cm may represent a calcified node. No focal consolidation is seen. There is no large pleural effusion. There is calcified and tortuous. The cardiac silhouette is top-normal to mildly enlarged. Multiple old left-sided rib fractures are seen. | 58753413 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with intubated transfer. // eval for tube placement TECHNIQUE: Single frontal view of the chest COMPARISON: None | Endotracheal tube is seen, terminating approximately 5 cm above the level of the carina. The patient is rotated to the right. Dense right lower paratracheal opacity measuring 2 point 3 by 1.1 cm may represent a calcified node. No focal consolidation is seen. There is no large pleural effusion. Multiple old left-sided rib fractures are seen. |
13893693 | Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Moderate degenerative changes are seen within the imaged thoracic spine. | 57656755 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with high speed motor vehicle collision. // Please evaluate for cardiopulmonary process. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13814783 | Single AP view of the chest provided. New enteric tube ends in the stomach. CT from ___ showed a large hiatal hernia, which we do not see on today. There is mild left lower lobe atelectasis. Otherwise, the lungs are grossly clear. No pleural effusion or pneumothorax. Hilar contours are normal. Mild cardiomegaly is unchanged. | 51501627 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman POD2 with ileus s/p NG tube placement // eval placement of NG tube COMPARISON: CT chest ___ ; chest radiograph ___ | New enteric tube ends in the stomach. |
13814783 | There is elevation of the left hemidiaphragm and a retrocardiac opacity, consistent with left lower lobe collapse. This is similar to the prior exam. There is a small left pleural effusion only appreciated on the lateral view. The right lung is essentially clear. There is no right pleural effusion. No pneumothorax is identified. The cardiomediastinal silhouette size is at the upper limits of normal. Noted are prominent air-filled loops of bowel in the upper abdomen, which are only partially imaged. | 54675006 | WET READ: ___ ___ ___ 9:46 AM Persistent retrocardiac opacity within elevation of left hemidiaphragm, consistent with left lower lobe collapse. Clinical correlation is recommended to assess for superimposed infection. ___ d/w Dr. ___ at 3:25AM ___. WET READ VERSION #1 ___ ___ ___ 3:31 AM Left lower lobe collapse with elevation of left hemidiaphragm. Clinical correlation is recommended to assess for superimposed infection. ___ d/w Dr. ___ at 3:25AM ___. WET READ VERSION #2 ___ ___ ___ 3:33 AM Persistent retrocardiac opacity within elevation of left hemidiaphragm, consistent with left lower lobe collapse. Clinical correlation is recommended to assess for superimposed infection. ___ d/w Dr. ___ at 3:25AM ___. ______________________________________________________________________________ FINAL REPORT INDICATION: Postoperative leukocytosis. Evaluate for pneumonia. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: Chest radiograph from ___ at 13:33. | Left lower lobe collapse and small left pleural effusion. |
13814783 | PA and lateral views of the chest provided. Lung volumes are low. Retrocardiac consolidation is unchanged. Otherwise, lungs are grossly clear. No pleural effusion or pneumothorax. Hilar contours are normal. Mild cardiomegaly is unchanged. | 55478505 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with worsening leukocytosis, persistent O2 requirement // ?consolidation, PNA COMPARISON: Chest radiograph ___ | Retrocardiac consolidation is unchanged from ___. PA and lateral would be helpful for further evaluation. |
13603732 | Interval resolution of the patchy opacifications bilaterally and lungs appear clear. Cardiac size is normal. There is no pneumothorax or pleural effusion. Dual-chamber dialysis catheter with tip in the cavoatrial junction. | 55468050 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ YO M with a history of ?psychotic break in last ___ years, L tibial fracture with ORIF, CKD (___ NSAIDs) and hypercalcemia with multiple sequelea (ARF, calciphelaxisis) due to excessive Vit D consumption who present with LLE pain found to be septic with grossly infected LLE hardware now s/p partial removal of hardware with retained intramedullary rod, on IV antibiotics for 6 weeks +rifampin. Also with hypercalcemia in the setting of Vit D/calcium ingestion, treated with fluids, Lasix, calcitonin, denosumab. Also with acute renal failure, requiring HD (last on ___), now with good UOP but high 3s-4s. TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___ | Interval resolution of patchy opacifications bilaterally. |
13603732 | Again seen is a right IJ catheter with tip overlying the right atrium. As before, the cardiomediastinal silhouette is enlarged. Compared with the prior study, there is much more pronounced hazy confluent opacity in both lungs, consistent with alveolar opacities, with air bronchograms noted. There is new obscuration of the right and left costophrenic angles consistent with right-greater-than-left layering pleural effusions. There is probable underlying bibasilar collapse and/or consolidation. | 52853422 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with ESRD and hypoxia // Pulmonary edema COMPARISON: Chest x-ray from ___ at 14 21 | Rapid evolution of diffuse bilateral confluent opacities with air bronchograms, consistent with an alveolar process. Given time course, this most likely represents pulmonary edema. Probable small right greater left effusions with underlying collapse and/or consolidation. Cardiomegaly again noted. |
13603732 | Low lung volumes bilaterally. No focal consolidation. No evidence of pulmonary edema. There is no pneumothorax or pleural effusion. Cardiac size is normal. Right dialysis catheter with tip in the right atrium. | 58604108 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with ESRD on HD3x week and HF with EF ___% being managed for volume overload. // Pulmonary edema? TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___ | No pulmonary edema. No pleural effusions. |
13603732 | Previously seen ET tube and transesophageal tubes have been removed. Lung volume is low. Small opacity is identified in the left lung base, improved from before. There is no new consolidation, pneumothorax or large pleural effusion. Cardiomediastinal silhouette is normal size. | 52753756 | INDICATION: ___ year old man with new leukocytosis // Pneumonia TECHNIQUE: Frontal view of the chest COMPARISON: ___ | No radiographic evidence of pneumonia. Left lower lobe atelectasis is improved. |
13941209 | 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. | 55827649 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with HSV flare, voice change, sore throat // eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13062853 | Chronic changes suggestive of scar seen at the left lung apex. Prominent extrapleural fat versus pleural thickening seen on the right, unchanged. Elevation of the left hemidiaphragm is similar compared to prior. The cardiomediastinal silhouette is within normal limits. There is no consolidation, effusion, or edema. No acute osseous abnormalities identified. | 57464855 | INDICATION: ___M with TTP and new-onset SOB // Is there an acute pulmonary process? TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13778987 | PA and lateral views of the chest are provided. A calcified granuloma resides at the right lung base. Calcified lymph nodes are noted in the subcarinal region on the lateral view. The lungs appear somewhat hyperinflated, though there is no definite evidence of pneumonia or overt CHF. Mild bibasilar atelectasis is noted. The heart is within normal limits of size. The aorta is unfolded. Bilateral shoulder replacements are present. The thoracic spinal aligns normally. | 50322300 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Shortness of breath, question acute intrathoracic process. | No acute intrathoracic process. |
13180713 | Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, pneumothorax. | 51508944 | INDICATION: ___M with 3 weeks of fever and cough // Pneumonia? TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
13992060 | Heart size is normal. Aorta is tortuous. There is no evidence of mediastinal or hilar lymph node enlargement. Lungs and pleural surfaces are clear. There are no acute skeletal abnormalities. | 59446803 | PA AND LATERAL CHEST OF ___ No prior radiographs for comparison. | No radiographic evidence of pulmonary metastases. |
13992060 | Heart size is normal. The mediastinal and hilar contours are remarkable for tortuosity of the thoracic aorta. The pulmonary vasculature is normal. Lungs are clear except for new peribronchiolar opacities in the retrocardiac portion of the left lower lobe. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 55300989 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with ongoing cough of several weeks p/w syncope // r/o infection TECHNIQUE: Chest PA and lateral COMPARISON: ___ | New peribronchial left lower lobe opacities are concerning for developing pneumonia or an acute aspiration event. |
13992060 | The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. | 57953970 | INDICATION: ___-year-old male with renal transplant and fever. Evaluate for underlying infiltrate. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: Chest CT from ___ and ___ and chest radiograph from ___. | No acute cardiopulmonary process. |
13992060 | Right IJ central venous catheter is at the cavoatrial junction. Lung volumes remain low. There is no focal consolidation or pleural effusion. No pneumothorax. | 58991215 | INDICATION: ___ year old man with kidney transplant // interval change TECHNIQUE: Single portable semi upright view of the chest. COMPARISON: Prior radiographs, most recently ___ | No relevant change compared to the prior examination. Persistent low lung volumes and mild basal atelectasis. |
13992060 | The cardiomediastinal and hilar contours are remarkable for a markedly tortuous descending thoracic aorta, without change since ___. Clear lungs. No pleural effusion or pneumothorax. | 58160659 | EXAMINATION: Chest radiograph INDICATION: History: ___M with cough and fever // eval pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Prior radiographs the most recent on ___ and ___ | No acute cardiopulmonary process. |
13992060 | The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unchanged with marked tortuosity of the thoracic aorta. No pleural effusions or pneumothorax. No acute or aggressive osseus changes. | 56059995 | INDICATION: ___ year old man with ESRD for pre kidney transplant eval // r/o cardiopulmonary abnormalities TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute radiographic intrathoracic pulmonary disease. |
13097080 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Apparent linear lucency along the right heart border is felt to most likely be artifactual and is not substantiated on the lateral view. | 59273362 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever cough and chest pain // pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. Apparent linear lucency along the right heart border is felt to be artifactual. |
13168956 | The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. | 55260967 | HISTORY: Shortness of breath and swelling in left lower extremity. Rule out pneumonia. COMPARISON: None available. TECHNIQUE: AP and lateral chest radiographs. | No radiographic evidence of an acute cardiopulmonary process. |
13346927 | The lungs are well expanded. A small calcified granuloma is seen in the left apex overlying the medial left clavicle. The lungs are otherwise clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable. | 50305451 | HISTORY: Chest pain, concerning for pneumonia. COMPARISON: None. | No acute cardiopulmonary process. |
13158753 | Two PA and one lateral chest radiograph were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Cardiac and mediastinal contours are normal. | 55515718 | HISTORY: Wheezing. COMPARISON: ___. | No acute cardiopulmonary process. |
13048289 | There is bilateral mid to lower lung bandlike atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is normal. There is a trace quantity of fluid in the minor fissure. | 59213892 | INDICATION: ___ year old woman with pneumonia v. scarring // acute infection TECHNIQUE: Frontal and lateral radiographs of the chest were acquired. COMPARISON: CT abdomen and pelvis from ___. | Bilateral mid to lower lung bandlike atelectasis. No convincing evidence of pneumonia. Trace quantity of fluid in the minor fissure. |
13048289 | The initial radiograph from ___ shows interval placement of an endotracheal tube whose tip terminates above the clavicles. Advancement by 1-2 cm would provide more effective ventilation. There is also new right upper lobe atelectasis with associated volume loss. The left lung is clear. The heart and mediastinum are magnified by the projection. A nasogastric tube coils in the stomach, distal tip not visualized. The follow-up radiograph from ___ shows slight advancement of the endotracheal tube. The right upper lobe has re-expanded, but lung volumes remain low. There are new bilateral airspace opacities which are most likely due to pulmonary edema. Small bilateral pleural effusions are also new. Increased retrocardiac opacification is most likely due to atelectasis. Heart size has increased. | 57567591 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with asthma s/p intubation during EGD. // Please eval for ET tube placement and pulmonary process. ___ year old woman with asthma s/p bronch and ET tube reposition. // Please eval for RUL change and ET tube placement. TECHNIQUE: Two portable AP radiographs of the chest. COMPARISON: ___. | Right upper lobe atelectasis has resolved, but there is new pulmonary edema with small bilateral pleural effusions. |
13048289 | The initial radiograph from ___ shows interval placement of an endotracheal tube whose tip terminates above the clavicles. Advancement by 1-2 cm would provide more effective ventilation. There is also new right upper lobe atelectasis with associated volume loss. The left lung is clear. The heart and mediastinum are magnified by the projection. A nasogastric tube coils in the stomach, distal tip not visualized. The follow-up radiograph from ___ shows slight advancement of the endotracheal tube. The right upper lobe has re-expanded, but lung volumes remain low. There are new bilateral airspace opacities which are most likely due to pulmonary edema. Small bilateral pleural effusions are also new. Increased retrocardiac opacification is most likely due to atelectasis. Heart size has increased. | 55273569 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with asthma s/p intubation during EGD. // Please eval for ET tube placement and pulmonary process. ___ year old woman with asthma s/p bronch and ET tube reposition. // Please eval for RUL change and ET tube placement. TECHNIQUE: Two portable AP radiographs of the chest. COMPARISON: ___. | Right upper lobe atelectasis has resolved, but there is new pulmonary edema with small bilateral pleural effusions. |
13048289 | The lung volumes are low. There are linear opacities in bilateral lower zones left greater than right, likely atelectasis. There is no pleural effusion. Cardiomediastinal silhouette is normal. Cholecystectomy clips project over the right upper quadrant. | 51292577 | INDICATION: ___ year old woman with acute pancreatitis, reporting SOB and cough // assess for PNA/aspir PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Low lung volumes with bibasilar atelectasis, no lobar consolidation or pleural effusion. |
13871417 | AP portable upright view of the chest. Endotracheal tube is seen with its tip residing 1.9 cm above the carina. The NG tube courses into the upper abdomen. Pulmonary edema is unchanged with bilateral small pleural effusions. | 57421386 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with ETT, eval ETT placement COMPARISON: Prior exam from outside hospital performed approximately 1 hr earlier. | ET tube tip positioned 1.9 cm above the carinal. NG tube positioned appropriately. Unchanged pulmonary edema and small effusions. |
13481227 | The endotracheal tube is low approximately 2 cm from the carina. The tip of the left-sided subclavian ___ central line appears curled on itself, and can be at the origin of the azygos vein. When compared to the prior examination, there is worsening pulmonary congestion, bilateral pleural effusions and atelectasis. Bibasilar | 55840349 | INDICATION: ___ year old woman with intubated // new pathology TECHNIQUE: Portable erect COMPARISON: ___ | The endotracheal tube appears low. The tip of the left subclavian line appears curved within the upper SVC. Worsening interstitial edema and bilateral effusions. |
13481227 | Compared to the prior study there is increased hazy opacity in both lower lung lobes compatible with volume loss/infiltrate. This is slightly worsened compared to the study from the prior day. The ET tube, NG tube, and left subclavian line are unchanged | 58654113 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with head trauma, weaning to extubate. // Any evidence of new infiltrate? TECHNIQUE: Portable chest COMPARISON: ___ side | Increased volume loss/infiltrate in the lower lobes. |
13481227 | There is interval placement of an endotracheal tube with tip 2 cm above the carina. The endotracheal tube could approximate choroid if the patient's neck is flexed and should not be advanced further. Left subclavian central venous catheter terminates at the origin of the SVC. The Doppler tip is in the distal stomach or proximal duodenum. Cardiomediastinal silhouette is unchanged. Mild diffuse bilateral pulmonary interstitial edema and moderate layering bilateral pleural effusions, right more than left are overall unchanged. No pneumothorax. | 58449149 | INDICATION: ___ year old woman with new oral intubation // eval tube position. DOBHOFF ADVANCED please eval dobhoff position. TECHNIQUE: Single portable AP semi upright view of the chest COMPARISON: ___ | All support devices are appropriately positioned. Mild pulmonary interstitial edema and moderate bilateral pleural effusions are overall unchanged. |
13934399 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac size is top-normal. There may be slight prominence of the AP window, underlying lymphadenopathy not excluded. | 52031472 | WET READ: ___ ___ 4:36 PM No focal consolidation to suggest pneumonia. Possible slight prominence at the AP window ; underlying lymphadenopathy not excluded. This finding could be further assessed on nonurgent chest CT. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with fever and sob // eval pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No focal consolidation to suggest pneumonia. Possible slight prominence at the AP window ; underlying lymphadenopathy not excluded. This finding could be further assessed on nonurgent chest CT. |
13676599 | There are relatively low lung volumes, but no definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 57749924 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with shortness of breath // shortness of breath TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Relatively low lung volumes without definite acute cardiopulmonary process. |
13822767 | Cardiac silhouette is mildly enlarged and central pulmonary arteries remain prominent, in keeping with the history of sickle cell disease. Chronic linear scarring is present at the lung bases, and new subtle areas of reticulation are identified in the periphery of the upper-to-mid lung regions bilaterally. Additionally, on the lateral radiograph, there is apparent lower lobe bronchial wall thickening as well as subtle increased opacity overlying the lower thoracic spine. There is also suggestion of small bilateral pleural effusions with slight blunting of the posterior costophrenic angles bilaterally, new from the prior study. Skeletal structures appear unchanged. | 58579676 | PA AND LATERAL CHEST OF ___ COMPARISON: Chest radiograph, ___. | Bibasilar bronchial wall thickening and subtle lung opacities, which could potentially represent a developing bronchopneumonia. Followup chest radiographs may be helpful in this regard. Probable small bilateral pleural effusions. |
13822767 | Bibasilar opacities are concerning for infection. These include a left lower lobe and a right lower lobe opacity. In addition, there is a small left pleural effusion. Right costophrenic angle is likely clear. Cardiac size is enlarged and associated with engorgement of the vessels. | 57199235 | HISTORY: ___-year-old woman with sickle cell disease in acute crisis. Question pneumonia. COMPARISON: ___. | Bibasilar opacities concerning for pneumonia. Cardiomegaly and engorged vessels consistent with a high flow state. |
13822767 | PA and lateral views of the chest were provided. The heart is mildly enlarged, though this is stable. The lungs are clear without focal consolidation, effusion or pneumothorax. Mediastinal contour is normal. Bony structures are intact. | 50766158 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison made with a prior study from ___. CLINICAL HISTORY: Sickle cell pain crisis, chest pain, question pneumonia, low-grade temps at home. | Mild cardiomegaly, otherwise no acute findings. |
13636887 | The lungs are clear without a consolidation or edema. There is no pleural effusion or pneumothorax. There is a tiny unchanged rounded density in the right lower lung zone which measures 5 mm. This is likely a calcified granuloma. The cardiomediastinal silhouette is normal. | 50867149 | INDICATION: Fall with possible seizure. Evaluate for pneumonia. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained with a total of three exposures. | No acute cardiopulmonary process. |
13663953 | Right PICC ends in the upper SVC. There is no pneumothorax. Volumes are low, but lungs are grossly clear. Cardiomediastinal and hilar contours are normal. There is no pleural effusion. | 56994549 | INDICATION: Evaluate PICC position after dressing removal. TECHNIQUE: Portable chest radiograph. COMPARISON: Radiographs from ___ through ___. | Right PICC ends in the upper SVC. No pneumothorax. |
13736637 | The lungs are clear. There is no focal consolidation or pneumothorax. There is no vascular congestion or pleural effusions. Cardiomediastinal and hilar contours are within normal limits. | 55592456 | HISTORY: ___-year-old female with cough and rib pain. COMPARISON: Chest radiograph from ___. PA AND LATERAL CHEST | No acute cardiopulmonary process. |
13596743 | The small right apical pneumothorax has resolved. Biapical pleural thickening is noted. There is no focal consolidation, pleural effusions or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact. | 56674850 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman s/p fall with a R ptx // please assess for interval chance TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | Resolution of right pneumothorax and bilateral pleural effusions. |
13596743 | There is moderate right apical pneumothorax and atelectasis in the right lower lung likely of the lower lobe. There is no shift of the mediastinum or other signs of tension. There is no focal consolidation or pleural effusion. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. There are no displaced fractures. | 55815361 | WET READ: ___ ___ 11:37 PM Moderate right apical pneumothorax without radiographic signs of tension. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fall, severe R sided rib pain // ? acute process, s/p fall TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___ | Moderate right apical pneumothorax without radiographic signs of tension. Right lower lobe atelectasis. |
13596743 | Fissure attention limits assessment. However, allowing for this there has been interval placement of a pigtail chest tube with its tip at the right apex. There has been interval re-expansion of the right lung with no residual right pneumothorax identified. Otherwise, there has been no change. | 54898376 | WET READ: ___ ___ 5:23 PM Interval placement of right-sided pleural drainage catheter. No definite residual pneumothorax identified. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___F with ptx s/p pigtail // s/p pigtail, ? improvement of ptx TECHNIQUE: Portable chest x-ray. COMPARISON: Chest radiographs dated ___ through ___. | Interval placement of right chest tube. No definite residual pneumothorax identified. |
13285775 | PA and lateral views of the chest provided. Lung volumes are low limiting assessment. Crowding of bronchovascular markings noted in the perihilar region. No convincing evidence for pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. | 52667372 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with cough, fever and congestion // evaluate for pneumonia COMPARISON: ___ | Limited due to low lung volumes. No acute findings. |
13593295 | Cardiac silhouette size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Mild degenerative spurring is noted within the thoracic spine. | 55626164 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with hip pain. now pre-op workup. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13723312 | Heart size is mildly enlarged. The hila bilaterally are prominent. Mediastinal contour is unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 54164737 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: None. | Mildly prominent hila bilaterally, and underlying lymphadenopathy is not excluded. Otherwise, no acute cardiopulmonary abnormality. |
13610352 | Lungs are fully expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal. | 52888123 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with history of LTBI, now with FUO // r/o active TB TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: None provided. | No acute intrathoracic process. Specifically, no evidence of active pulmonary tuberculosis. |
13096321 | Lung volumes are low. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart size is exaggerated by low lung volumes and therefore difficult to evaluate. | 55578046 | HISTORY: ___-year-old female with chest pain. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None available. | Low lung volumes without radiographic evidence for pneumonia. |
13954367 | The lungs are well-expanded and clear other than mild left lung base atelectasis. No focal consolidation, edema, effusion, or pneumothorax. The heart is mildly enlarged, unchanged. The descending thoracic aorta is slightly tortuous. Mediastinal and hilar contours are unchanged. No acute osseous abnormality. A coronary stent projects over the heart. | 51174706 | EXAMINATION: Chest radiograph INDICATION: ___F with presyncopal symptoms, known bradycardia, CAD s/p stent // please evaluate for fluid overload or other signs of heart failure TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | No pneumonia or evidence of heart failure. |
13077217 | Frontal and lateral radiographs of the chest demonstrate an area of increased opacification in the right upper lobe, consistent with pneumonia. There are small bilateral pleural effusions. The left lung is clear. There is no pneumothorax. The cardiomediastinal and hilar contours are unchanged. The heart is top-normal in size. Right paratracheal opacification is consistent with lymphadenopathy on recent CT. | 56876872 | INDICATION: ___ year old man with RUL pneumonia and effusion seen on chest CT // Evaluate size of effusion, establish baseline for future CXR TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph of the chest dated ___ and CT of the chest dated ___. | Right upper lobe pneumonia. Small bilateral pleural effusions. |
13822537 | No focal consolidation, pleural effusion, or pneumothorax is detected. Heart and mediastinal contours are within normal limits. There is no evidence for pulmonary edema. The visualized portions of the clavicles demonstrate no evidence for fracture on these views, although the distal right clavicle is not included and this study. Evaluation is also suboptimal since the patient is rotated, but there is suggestion of widening of the right sternoclavicular joint. | 56685490 | INDICATION: ___-year-old male with severe shoulder and clavicle pain exacerbated by breathing and movement and one week of cough. COMPARISON: None available. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | No radiographic evidence for acute cardiopulmonary process. Possible widening of the right sternoclavicular joint, incompletely evaluated on these rotated views. Further evaluation is recommended with true frontal view of the sternoclavicular joints. These findings and recommendations were discussed with Dr. ___ by Dr. ___ by telephone at 3:35 a.m. on ___. |
13116822 | The heart size, mediastinal, and hilar contours are normal. Mild biapical pleural scarring is unchanged. No focal consolidation, pleural effusions, or pneumothorax. No free subdiaphragmatic air. Left second and third anterior and posterior rib fractures are identified and well corticated in appearance, but new in the interval since the prior radiograph. Incidentally noted healed right lower rib fractures. | 55415467 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with nausea and vomiting, lactate 4; + abd pain. Eval for consolidation; please obtain upright film to eval for free air under diaphragm. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | No free subdiaphragmatic air or focal consolidation. Left second and third well-corticated rib fractures are new since ___. |
13636968 | Tunneled left internal jugular central venous catheter tip terminates in the right atrium. The heart is enlarged. There is elevation of the right hemidiaphragm, and in absence of priors, may represent diaphragmatic paralysis, which could be contributing to the patient's shortness of breath. There is no evidence of pulmonary edema or pleural effusions. Obscuration of left heart border is indicative of a lingular opacity. | 56968264 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with ESRD on HD with shortness of breath. Evaluate for edema. TECHNIQUE: Portable upright chest radiograph COMPARISON: None | Elevated right hemidiaphragm, may be contributing to the patient's shortness of breath. Correlation with prior chest radiography is recommended. No evidence of pulmonary edema or pleural effusions. Tunneled dialysis catheter terminates in the right atrium. Lingular opacity may represent atelectasis or infection, and warrants followup chest radiography. |
13263702 | The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. There are old right rib fractures. | 59964550 | INDICATION: ___-year-old female with left upper back pain. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST | No acute intrathoracic process. |
13669061 | Moderate cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged with prominence of the right paratracheal stripe fullness of the AP window due to the presence of underlying lymphadenopathy, better assessed on the previous CT. No overt pulmonary edema is seen. There is mild crowding of the bronchovascular structures is a result of low lung volumes. Minimal atelectasis is seen in the lung bases without focal consolidation. No pneumothorax is identified. There may be a small left pleural effusion. No acute osseous abnormality is identified. | 53347825 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with atrial fibrillation with rapid ventricular rate TECHNIQUE: Upright AP view of the chest COMPARISON: CT chest ___ | Low lung volumes with minimal atelectasis in the lung bases. Mediastinal lymphadenopathy, better assessed on the previous CT. |
13283535 | 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. | 54201406 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with intermittent chest pain for past 3 days COMPARISON: ___ | No acute intrathoracic process. |
13283535 | The heart size, mediastinal, and hilar contours are normal. The lungs are clear and well expanded. There is no pleural effusion, pneumothorax, or focal opacity. The osseous structures are unremarkable, except for slightly worsened degenerative osteophytic changes of the thoracic spine, best seen on the lateral view. | 51948660 | EXAMINATION: CHEST PA AND LATERAL INDICATION: ___ year old woman with 5 days of respiratory congestion, left sided chest pain. Pneumonia? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process, specifically without evidence of a pneumonia. |
13945794 | The cardiomediastinal and hilar contours are within normal limits. Lungs are essentially clear. There is no focal consolidation, pleural effusion or pneumothorax. Visualized osseous structures are grossly intact. | 51817165 | HISTORY: ___-year-old man with past medical history of HIV, fever, abdominal pain, headache and right lower quadrant pain. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs. | No evidence of an acute cardiopulmonary process. |
13919825 | An accessed right-sided Infuse-A-Port ends in the mid SVC. Bibasilar areas of linear atelectasis persist. There are no new consolidations or pleural effusions. There is no pneumothorax. Heart size is within normal limits despite the projection. A partially imaged IVC filter projects over the medial right upper quadrant. | 55401223 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with glioblastoma, presenting with worsening weakness, cough. Please eval for PNA. TECHNIQUE: Portable AP radiograph of the chest from ___. COMPARISON: ___. | Tip of accessed right-sided Infuse-A-Port at the level of the mid SVC. Unchanged bilateral linear atelectasis. |
13552470 | The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. | 52186939 | INDICATION: Chest pain, here to evaluate for pneumonia. COMPARISON: Chest radiographs dated ___. TECHNIQUE: PA and lateral radiographs of the chest. | No acute cardiopulmonary process. |
13222579 | Lung volumes are reduced. This limits the assessment of the lung bases where patchy opacities could reflect atelectasis but infection is not excluded. The lateral view suggests no focal consolidation however. Heart size is top normal. Mediastinal and hilar contours are within normal limits. There is crowding of the bronchovascular structures, but no overt pulmonary edema is seen. No pneumothorax or pleural effusion is present. There are no acute osseous abnormalities. | 54882162 | HISTORY: Depression, anxiety, palpitations. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | Low lung volumes limit assessment of the lung bases. Patchy bibasilar airspace opacities on the frontal view, likely reflect atelectasis, as no consolidative opacity is seen on the lateral view, though infection is not completely excluded. |
13332086 | Cardiac, mediastinal and hilar contours are unremarkable. The aorta is mildly tortuous. The pulmonary vasculature is normal. Patchy opacity within the left lung base likely reflects an area of atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. | 55433351 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with altered mental status TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Patchy opacity in the left lung base, likely atelectasis. |
13332086 | The cardiac, mediastinal and hilar contours appear stable. A patchy opacity projecting over the left mid lung, probably in the lingula, suggests minor unchanged atelectasis. Although the deep posterior costophrenic sulci are partly excluded on the lateral view, there is no indication for pleural effusion. There is no pneumothorax. | 56605316 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Seizure and mental status change. COMPARISON: ___. TECHNIQUE: Chest, AP upright and lateral views. | No evidence of acute cardiopulmonary disease. |
13135020 | Right internal jugular central venous catheter remain stable in the low SVC. Moderate cardiomegaly is unchanged. Platelike atelectasis in the left mid and lower lungs and bibasilar atelectasis is not significantly changed. There is a small left pleural effusion. There is no pneumothorax. | 55037350 | INDICATION: ___ year old man s/p CABG // eval for effusion TECHNIQUE: PA and lateral radiographs COMPARISON: Chest radiographs ___ through ___ | Small left pleural effusion. Unchanged mild bilateral atelectasis, left greater than right. |
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