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13135020 | Re-identified are multiple median sternotomy wires consistent with prior CABG. The cardiomediastinal silhouette is stable, reflective of moderate cardiomegaly. The hila are within normal limits. Lung volumes are low. There is no pulmonary vascular congestion or pulmonary edema. Linear opacity at the right and left lung bases likely reflect atelectasis. There is no pneumothorax or pleural effusion. The right internal jugular vein catheter has been removed. At lower lung volumes, a platelike atelectasis is seen at the right lung basis. | 53119963 | INDICATION: ___-year-old man status post CABG presenting with left chest tightness. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___. | Low lung volumes. No acute cardiopulmonary process. Bibasilar atelectasis. Stable moderate cardiomegaly. |
13867951 | 2 views of the chest demonstrates clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is seen. | 58771446 | HISTORY: Cough. Evaluate for pneumonia. COMPARISON: None available. | No acute cardiopulmonary process. |
13590537 | There relatively low lung volumes. No focal consolidation is seen. 2 mm rounded calcific structure projecting over the right lung base may represent a bone island or calcified granuloma. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are unremarkable. | 57218513 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with AMS // infiltrate? TECHNIQUE: Single frontal view of the chest COMPARISON: None | No acute cardiopulmonary process. |
13121455 | The patient is rotated to the left. Given this, there is persistent blunting of the right costophrenic angle which may be due to a small pleural effusion, similar to prior. No new focal consolidation is seen. There is no left pleural effusion. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There may be very minimal vascular congestion. | 57844756 | HISTORY: 3 weeks of cough, now with recent fever to 102. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | Persistent blunting of the right costophrenic angle suggesting a small right pleural effusion. Possible minimal pulmonary vascular congestion. |
13032905 | Heart size is top normal. Compared to prior study, there are new diffuse reticular opacities, more prominent in the right lung which may be consistent with an atypical pneumonia vs assymetric edema. There is no pleural effusion or pneumothorax. Mediastinal and hilar contours are normal. | 55592411 | INDICATION: Shortness of breath. COMPARISON: Chest radiograph from ___. | Atypical pneumonia vs assymetric edema. |
13894536 | AP and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is top normal in size. | 58083723 | HISTORY: Pain status post fall. COMPARISON: Comparison made with chest radiographs from ___ and ___. | No acute cardiopulmonary process. Of note, chest radiograph is not sensitive for subtle chest cage trauma. Dedicated rib radiographs can be obtained if clinically concerned. |
13894536 | There is a moderate size left pleural effusion with underlying atelectasis. No pneumothorax is detected. Heart and mediastinal contours are within normal limits. | 53150361 | HISTORY: ___-year-old male with increasing fatigue for several weeks and fever. COMPARISON: None available. | Moderate left pleural effusion. |
13862219 | The previously described nodular opacities in the right upper lung and right lower lobe are less conspicuous on today's study. Cardiomediastinal hilar contours are unchanged. Persistent left hilar fullness. No focal consolidation, pneumothorax or pleural effusion. | 56633425 | INDICATION: ___ year old woman with pneumonia, feeling much worse // check for worsening infiltrates TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ and ___. | Decrease in conspicuity of previously described nodular opacities in the right upper lung and right lower lobe. No focal consolidation. |
13862219 | Heart size is top-normal. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal increased interstitial opacities within the periphery and lung bases are perhaps minimally improved compared to the previous chest radiograph, and better assessed on the prior chest CT. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 55181825 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with elevated lactate // evaluate for pneumonia TECHNIQUE: Upright AP view of the chest COMPARISON: ___ chest radiograph, chest CT ___ | Mild chronic interstitial lung disease, better assessed on recent chest CT, and perhaps slightly improved from the previous chest radiograph. No new acute cardiopulmonary process. |
13862219 | Compared to prior, there are indistinct but nodular opacities in the right upper lung as well as in the right lower lobe. The left lung is grossly clear. Left hilus appears fuller on today's exam compared to ___. No pleural abnormality is seen. The heart size is top normal and unchanged. | 52167412 | INDICATION: ___ year old woman with hyponatremia. Evaluate for intra thoracic mass. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | Nodular opacities in the right upper lung and right lower lobe. ___ be atypical pneumonia. However, given left hilar fullness, further evaluation with chest CT is recommended. |
13007347 | Endotracheal tube tip terminates roughly 4.5 cm cranial to the carina. Upper enteric tube terminates at roughly the level of the pylorus. Cardiomediastinal silhouette is unremarkable. Mild prominence of the central pulmonary vasculature without interstitial edema. No dense consolidation. The most lateral part of the left hemithorax is not imaged. No pneumothorax or obvious pleural effusion. | 58902028 | EXAMINATION: Chest radiograph INDICATION: Subarachnoid hemorrhage status post intubation. Evaluate endotracheal tube placement. TECHNIQUE: Portable frontal view of the chest. COMPARISON: None. | Endotracheal tube tip terminates in appropriate position 4.5 cm cranial to the carina. |
13007347 | Endotracheal tube tip is 3.9 cm from the carina. Right subclavian line tip is seen overlying the mid SVC. Enteric tube passes below the field of view. There is no visualized pneumothorax. Lungs remain grossly clear and the cardiomediastinal silhouette is within normal limits. | 59314319 | INDICATION: ___F with Central line // confirm placement TECHNIQUE: Single portable view of the chest. COMPARISON: Film from earlier the same day at 11:47 | Interval placement of right subclavian line with tip overlying the mid SVC. No pneumothorax. |
13348028 | Cardiac silhouette size is mildly enlarged. The mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is not engorged. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 54122141 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain and dyspnea on exertion TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13351112 | Low lung volumes are again noted. Patient is rotated to the left. Relative elevation of the left hemidiaphragm is again noted. There is blunting of the left posterior costophrenic angle suggestive of a small effusion. There is possible adjacent atelectasis given retrocardiac opacity noting infection is not excluded. Compression deformities in the lower thoracic spine are only partially visualized. | 51909984 | INDICATION: ___M with weakness, chest tightness // Eval for cardiopulmonary process TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___ chest x-ray. | Limited exam. Probable small left-sided effusion. Retrocardiac opacity could be due to atelectasis or potentially infection. |
13351112 | Compared to the prior study, the lung expansion has slightly increased. Bilateral lower lobe atelectasis and elevation of the left hemidiaphragm persists. The cardiac and mediastinal contours are stable. Two compression fractures in the lower thoracic spine are unchanged since ___ and may be related to the patient's history of renal cell carcinoma. | 53601176 | INDICATION: ___ year old man with elevated left diaphragm and hx of LLL atelectasis and pna. // assess for absence of LLL atelectasis or RLL atelectasis TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: Chest radiograph ___. | Bilateral lower lobe atelectasis is minimally improved since ___. |
13351112 | The heart is mildly enlarged. There is no pneumothorax or pleural effusion. Bibasilar linear opacities likely reflect atelectasis, though a left basilar retrocardiac opacity with small air bronchograms may reflect a small underlying consolidation, difficult to differentiate from focal atelectasis. There is persistent elevation of left hemidiaphragm. The central pulmonary vessels are engorged, without overt edema. | 55942122 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with DM2, CAD, HTn, afib, CKD, panhypopit, h/o DVT, RCC, here for weakness and general fatigue x ___ days. // Any acute processes (pneumonia, pulm edema, change in cardiac silhouette) COMPARISON: Chest radiograph from ___. | Small retrocardiac opacity at the left base may represent a small consolidation, versus focal atelectasis. |
13351112 | The left hemidiaphragm continues to be elevated with blunting of the left costophrenic angle. There is persistent low lung volumes consistent with recurrence of atelectasis. There is no focal consolidation, pneumothorax or pulmonary edema. Heart and mediastinal contours are unchanged. The vertebral body compression lesions are again noted and unchanged. | 59199408 | HISTORY: ___-year-old male with elevated diaphragm and recurrent left lower lobe atelectasis, assess for any recurrent atelectasis. TECHNIQUE: PA and lateral radiographs were obtained of the patient in the upright position. COMPARISON: Chest radiograph from ___ and ___. | Left lower lung atelectasis persists. |
13516402 | Endotracheal tube tip is 2.8 cm from the carina. Enteric tube seen with tip within the gastric body, side-port likely just distal to the GE junction. Lung volumes are relatively low. There is no large confluent consolidation or significant effusion. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. | 52092112 | INDICATION: ___M with head bleed w eTT placemen TECHNIQUE: Single portable view of the chest. COMPARISON: None. | ET tube 2.8 cm from the carina. |
13180277 | The lung volumes are low. The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions. Bony structures are unremarkable. | 56722049 | CHEST RADIOGRAPH HISTORY: Left-sided chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13118875 | Frontal and lateral chest radiographs demonstrate a heart which is top normal in size and fairly well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. | 52405444 | FINAL ADDENDUM ADDENDUM A nodular opacity projecting over the left lower lobe could be in the skin, but further evaluation with shallow oblique views with a nipple marker is recommended. Updated finding/recommendation was communicated via telephone by Dr. ___ ___ to Dr. ___ at ___ on ___, upon attending review. ______________________________________________________________________________ FINAL REPORT INDICATION: Altered mental status. COMPARISON: None available. | No acute cardiopulmonary process. |
13118875 | Multiple overlying EKG leads are present. There is no free air below the right hemidiaphragm. There is mild bibasilar atelectasis. Otherwise the lungs are clear. The cardiomediastinal silhouette appears normal. Bony structures are intact. | 53915046 | EXAMINATION: Chest radiograph INDICATION: ___-year-old male with acute abdomen, question free air. TECHNIQUE: Portable AP upright chest radiograph. COMPARISON: Radiograph dated ___. | No signs of pneumoperitoneum. Bibasilar atelectasis. |
13497422 | AP portable view of the chest demonstrates low lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouette are unremarkable. Heart size is normal. There is no pulmonary edema. | 53139234 | INDICATION: Worsening shortness of breath and cough, chest pain. COMPARISONS: ___. | No evidence for acute cardiopulmonary process. |
13497422 | Frontal chest radiograph demonstrates no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are unremarkable. | 57839907 | INDICATION: Shortness of breath and wheezing. Evaluation for pneumonia. COMPARISON: ___. | No acute cardiopulmonary process. |
13273685 | An endotracheal tube is approximately 8 cm from the carina and should be advanced. A hemodialysis catheter is unchanged in position and ends in the mid SVC. A left subclavian central line is coiled within the left brachiocephalic vein. Since the prior radiograph, there has been interval development of severe pulmonary edema. The cardiomediastinal silhouette is normal. There are no pleural effusions. There is no pneumothorax or visible rib fractures. | 52914209 | INDICATION: Status post PEA arrest. COMPARISONS: Chest radiograph ___. Chest radiograph ___. | Endotracheal tube approximately 8 cm from the carina and slightly high. Left subclavian central line coiled in the brachiocephalic vein. New moderate-to-severe pulmonary edema. |
13273685 | The endotracheal tube tip terminates 5.5 cm above the level of the carina. Diffuse bilateral alveolar opacities are new from prior and likely reflect moderately severe pulmonary edema given the clinical history of heart failure. Additionally, baseline cardiomegaly has increased, findings consistent with decompensated heart failure. There are possible small layering bilateral pleural effusions. No pneumothorax is identified. A linear opacity in the medial right lung base is unchanged from multiple priors and may reflect a foreign body. | 59209495 | HISTORY: ___-year-old female with history of congestive heart failure presenting status post cardiac arrest. Evaluation for endotracheal tube placement. COMPARISON: Chest radiograph from ___. PORTABLE SUPINE AP CHEST | Endotracheal tube 5.5 cm above the carina in standard position. New moderately severe pulmonary edema. Increased cardiomegaly, now moderately severe. Stable foreign body (uncertain etiology) overlying the right medial lung base. |
13273685 | A large bore dialysis catheter terminates in the expected location of the mid SVC. Linear opacities in the retrocardiac region better seen on the lateral projection likely reflect subsegmental atelectasis. The remainder of the lungs are clear. There is no vascular congestion, pulmonary edema, or pleural effusions. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax. | 50699943 | HISTORY: ___-year-old female with hypotension during dialysis. COMPARISON: Chest radiograph from ___ AP AND LATERAL CHEST | Minimal retrocardiac subsegmental atelectasis Dialysis catheter in the mid SVC. No pulmonary edema or pleural effusions. |
13331403 | Compared to the prior study, there has been increase in a moderate-to-large right pleural effusion. Linear opacities in the left lower lung are consistent with atelectasis. The lung apices are clear. The visualized portion of the heart is unremarkable. The imaged upper abdomen is unremarkable. A biliary catheter projects over the upper abdomen. | 58611765 | INDICATION: Right pleural effusion. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs were provided. | Small increase in size of moderate-to-large right pleural effusion. |
13330963 | The cardiomediastinal and hilar contours are within normal limits. Streaky opacities at the bases could represent atelectasis or potentially infection or aspiration. No pneumothorax. No pleural effusion. | 55102307 | EXAMINATION: Chest radiograph INDICATION: History: ___M with headache, cerebral aneurysm, neurology evaluation // Acute cardiopulmonary process TECHNIQUE: Portable AP view of the chest. COMPARISON: None | Subtle, streaky bibasilar opacities could reflect aspiration or infection in the appropriate clinical setting. |
13790066 | Limited supine chest radiograph by overlying trauma board demonstrates clear lungs, with no large effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal. | 51762817 | HISTORY: ___-year-old male with head trauma. COMPARISON: None. | Limited trauma chest radiograph demonstrates no acute injury. |
13076444 | Right-sided Port-A-Cath terminates within the mid SVC. The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Lungs are hyperinflated. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 50954462 | INDICATION: Fever. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary abnormality. Hyperinflated lungs. |
13031066 | The pulmonary vasculature is more engorged than on prior exams and there is cephalization of the vessels. The right mediastinum demonstrates increased prominence, the cardiomediastinal silhouette is enlarged compared to prior, and there is a right pleural effusion. Bibasilar opacities are seen, right greater than left. The right pleural effusion accounts for at least some of the right base opacity, however cannot exclude underlying atelectasis, pneumonia, or aspiration in the right clinical setting. The left base opacity could also represent atelectasis, pneumonia, or aspiration in the right clinical setting. There is no left pleural effusion or pneumothorax. | 56071257 | INDICATION: History: ___F with weakness // eval infiltrate TECHNIQUE: AP and lateral images of the chest. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | Mild to moderate pulmonary edema, with right pleural effusion. Bibasilar opacities, part of which can be accounted for by the right pleural effusion, bibasilar consolidation due to pneumonia and/or aspiration may be present appropriate clinical setting. Cardiomegaly. |
13031066 | The heart size is normal. The aortic knob calcifications are re- demonstrated. The mediastinal contours are unchanged with a moderate to large hiatal hernia again noted. Pulmonary vascularity is normal. The hilar contours are stable. Eventration of the right hemidiaphragm is again noted. Mild bibasilar atelectasis is present. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities are visualized. | 50191630 | HISTORY: Intermittent dry cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No evidence for pneumonia. Moderate to large hiatal hernia. |
13502807 | AP upright and lateral views of the chest provided. Left chest wall pacer device is seen with leads extending to the right atrium and right ventricle unchanged. Small bilateral pleural effusions are noted with scarring in the left lower lobe which appears chronic. Central hilar congestion with mild interstitial edema is noted. No pneumothorax. Cardiomediastinal silhouette is stable. Scoliotic curvature of the thoracic spine again noted. | 58927134 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F with shortness of breath // eval for ptx or pna COMPARISON: ___ and ___. | Mild pulmonary interstitial edema with small bilateral pleural effusions and chronic scarring in the left lower lobe. Difficult to exclude a superimposed pneumonia in the left lung base. |
13371198 | PA and lateral chest views were obtained with patient in upright position. The heart size cannot be assessed as sizable left-sided pleural effusion conceals left-sided diaphragm and cardiac contours. The pleural effusion reaches up to the hilar level along the lateral chest wall. Just in the hilar region and somewhat below, a few centimeters of spontaneous air bronchogram can be identified, but the periphery of the left lower parenchyma is concealed. The remaining upper portion of the left hemithorax demonstrates pulmonary vasculature, with unremarkable appearance. No pneumothorax is seen. The right hemithorax shows grossly normal findings. Right lateral and posterior pleural sinus is free. Skeletal structures of the thorax grossly unremarkable. Our records do not include a previous chest examination available for comparison. | 59411004 | TYPE OF EXAMINATION: CHEST, PA AND LATERAL. INDICATION: ___-year-old female patient with pleural effusion, evaluate. | Sizable left-sided pleural effusion. Left lower lung tissue concealed. If course of pleural effusion has not been determined, evaluation of lung by CT is recommended. |
13371198 | Tip of the right Port-A-Cath in terminates in the mid right atrium, unchanged. Newly placed enteric tube courses to the body of the stomach. Since the prior chest radiograph performed in ___, there has been interval development of bilateral small to moderate pleural effusions, left greater than right. Dense left retrocardiac opacity likely represents atelectasis. No consolidation in the aerated portions of the lungs. No pneumothorax. Heart size is normal. | 58962401 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with metastatic breast cancer who presents with renal failure and hypotension // Interval change. Please evaluate for free air. TECHNIQUE: Portable chest radiograph COMPARISON: Chest radiograph ___ | New left greater than right pleural effusions, small to moderate. Left retrocardiac opacity likely represents atelectasis. |
13949444 | Cardiac silhouette size is normal. The aorta is unfolded. Prominence of the hila are noted bilaterally which could suggest pulmonary arterial enlargement. Pulmonary vasculature is not engorged. Minimal patchy opacities are is noted within the right upper and lower lung fields, which could reflect areas of infection or aspiration. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes noted in the thoracic spine. | 51614781 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with fatigue, hyponatremia, several days cough, left greater than right rhonchi on exam // evaluate for pneumonia TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None. | Minimal patchy opacities in the right upper and lower lung fields which could reflect areas of infection or aspiration. |
13957347 | Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. Mild bibasilar atelectasis is seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal. The aorta is slightly tortuous. Hilar contours are unremarkable. Degenerative changes are seen along the spine. Please note that chest radiography is not the optimal study to evaluate the bones for multiple myeloma. | 54966530 | EXAM: CHEST, FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: ___-year-old male with history of cough, history of multiple myeloma. COMPARISON: None. | No acute cardiopulmonary process. |
13739681 | Lung volumes are low. The aorta is tortuous. The mediastinal contours otherwise are unremarkable. The hilar contours are normal. The pulmonary vasculature is normal. There are streaky bibasilar airspace opacities. Mild lateral pleural thickening is noted at the bases bilaterally. No pleural effusion or pneumothorax is clearly identified otherwise. The osseous structures are diffusely demineralized. | 52952640 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with altered mental status, slurred speech and dysmetria TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Low lung volumes with streaky bibasilar opacities, likely atelectasis. Infection is not completely excluded in the correct clinical setting. Consider repeat PA and lateral views when the patient is able to take a deeper inspiration. |
13024904 | Exam is limited by respiratory motion and low lung volumes. The heart size appears mildly enlarged with a left ventricular predominance. Mild atherosclerotic calcifications are noted at the aortic knob. There is crowding of the bronchovascular structures. Focal opacity projecting over the medial aspect of the right lung base is noted. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Marked degenerative changes of both glenohumeral joints are noted. | 50807781 | INDICATION: Altered mental status. COMPARISON: None. TECHNIQUE: Portable upright AP view of the chest. | Opacity projecting over the right medial lung base, for which dedicated PA and lateral views are recommended when the patient is able to ascertain if this reflects a focal consolidation in the lung. |
13901287 | The lungs are well expanded. A small opacity is seen in the right lung base, possibly representing atelectasis, but cannot exclude early pneumonia or aspiration in the right clinical setting. Mild cephalization is noted, but no overt pulmonary edema is seen. There is no pleural effusion or pneumothorax. The mediastinum is widened, primarily due to an enlarged aorta, which could be aneurysmally dilated. The cardiac silhouette is enlarged. | 54081768 | INDICATION: History: ___M with hyperK // ? mass TECHNIQUE: AP and lateral images of the chest. COMPARISON: None. | Opacity in the right lung base, possibly representing atelectasis, but cannot exclude an early pneumonia or aspiration in the right clinical setting. Recommend shallow oblique radiographs to further evaluate. |
13901287 | There is unchanged appearance of mildly enlarged mediastinal silhouette likely secondary to tortuous and dilated thoracic aorta, with stable minimal calcifications seen. Again seen is significant enlargement of cardiac silhouette, with unchanged marked lateral movement of right heart border suggesting right ventriculomegaly, better seen on prior CT, stable in appearance. There is evidence of small pericardial effusion better appreciated on prior CT. The bilateral hila are normal. The right basilar opacity previously noted has resolved. There are stable small bilateral pleural effusions as seen on prior CT exam. There are no new focal lung consolidations. There is no evidence of pulmonary vascular congestion. There is no pneumothorax | 54022628 | WET READ: ___ ___ 10:19 AM Severe cardiomegaly. Lungs are clear. WET READ VERSION #1 ___ ___ 12:58 AM Severe cardiomegaly. Lungs are clear. ______________________________________________________________________________ FINAL REPORT EXAMINATION: PA and lateral chest x-ray. INDICATION: ___ year old man with need for v/q // eval for pulmonary process TECHNIQUE: PA and lateral projections, upright positioning. COMPARISON: Portable AP chest x-ray and PA and lateral chest x-ray from ___ and ___ respectively. | No evidence of new acute cardiopulmonary process. |
13901287 | AP portable upright view of the chest. The heart is enlarged. There is prominence of the upper mediastinum, unchanged since ___, representing an aortic aneurysm seen on the ___ CT. The central pulmonary vessels are in course, however, there is no overt edema. No superimposed consolidation, pneumothorax, or effusion is seen. | 58920338 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with PNA, CHF and worsening tachypnea // Please assess for PNA vs fluid overload COMPARISON: Chest radiograph from ___ and chest CT from ___. | No new consolidation, effusion, or edema since the ___ radiograph. |
13901287 | An abnormal lobular appearance of the aortic arch reflecting an aneurysm appears unchanged. The heart is again moderately enlarged. The cardiac, mediastinal and hilar contours appear stable. Streaky retrocardiac opacity is consistent with minor unchanged atelectasis. Irregular opacity in the right upper lobe appears unchanged. Calcifications also appear unchanged in the right lung and left apex. The chest is probably hyperinflated to some extent. There is no pleural effusion or pneumothorax. | 50234994 | CHEST RADIOGRAPH HISTORY: Hypoxia and rales on the left side. COMPARISONS: ___ and ___. TECHNIQUE: Chest, portable AP view. | No evidence of acute disease. |
13901287 | The heart is enlarged and stable since prior. There is mild enlargement of the mediastinal silhouette, likely secondary to a tortuous and dilated thoracic aorta, stable since prior. There is also enlargement of the main pulmonary artery which could reflect underlying pulmonary hypertension. There are tiny stable bilateral pleural effusions. Increased density at the upper lobes bilaterally and right lower lobe is felt to reflect scarring and fibrosis as was seen on prior chest CT. No definite new focal consolidation identified. | 59057518 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Fever from NH. Rule out pneumonia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Prior chest radiograph from ___ and chest CT from ___. | Stable tiny bilateral pleural effusions. Chronic changes related to scarring or fibrosis in the upper lobes bilaterally and right lower lobe. No new focal consolidation identified. |
13751863 | Upright portable AP view of the chest was provided. The left chest wall Port-A-Cath is unchanged in position with catheter tip in the expected region of the low SVC. Bilateral pleural effusions, small in size, persist. There is pulmonary interstitial edema which appears slightly increased from prior exam. Lower lung opacities could represent atelectasis, though the possibility of pneumonia is difficult to exclude. There is no pneumothorax. The heart is top normal in size. Mediastinal contour is normal. Bony structures are intact. | 54926182 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: CXR from ___ and chest CT from ___. CLINICAL HISTORY: ___-year-old man with shortness of breath, status post diuresis, assess change in pulmonary edema. | Slightly increased pulmonary edema and small persistent pleural effusions. Lower lung opacities appear increased, could represent atelectasis or possibly pneumonia. Mild cardiomegaly unchanged. |
13751863 | PA and lateral views of the chest were reviewed. Compared to the most recent study, there has been slight interval decrease in a small right pleural effusion. Linear opacities in the left lower lobe likely represents atelectasis; otherwise, lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. Normal cardiac and mediastinal contours. A left-sided Port-A-Cath ends in the mid-to-distal superior vena cava. There are no concerning osseous or soft tissue lesions. | 51365925 | INDICATION: Evaluation for interval change of a pleural effusion in a patient with lymphoma. COMPARISON: Multiple chest radiographs, the most recent of ___. | Slight interval decrease in small right-sided pleural effusion. |
13751863 | Frontal and lateral chest radiograph demonstrate normal cardiomediastinal and hilar contours. On a background of mild pulmonary edema, there are stable bibasilar opacifications including a domed posterior pleural based opacification likely reflecting rounded atelectasis. There is stable prominence of the right lateral pleura, likely combination of small loculated pleural fluid and pleural thickening. Small amount of fluid tracks along the minor fissure. No pneumothorax evident. Left-sided Port-A-Cath terminates at the cavoatrial junction. | 52739808 | INDICATION: Hypoglycemia, neutropenia, evaluate for pneumonia. COMPARISON: Comparison is made to multiple prior chest radiographs, most recently dated ___. | Mild pulmonary edema. Stable-appearing bibasilar opacifications are likely atelectasis though cannot exclude superimposed infectious process. |
13751863 | There are chronic small bilateral pleural effusions and thickening with chronic atelectasis/scarring of the lower lobes. The hilar and cardiomediastinal contours are normal and the lungs are otherwise clear. There is no pneumothorax. A left chest wall port catheter terminates in the low SVC. | 53302636 | HISTORY: Fall and syncope. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
13751863 | Left-sided Port-A-Cath tip terminates in the mid SVC. The cardiac, mediastinal and hilar contours are unchanged. No pulmonary vascular congestion is present. Small bilateral pleural effusions are unchanged, with similar appearance of either right lower lateral pleural thickening or laterally loculated effusion. Linear opacities in both lung bases, which may reflect subsegmental atelectasis or scarring, are unchanged. No new lung opacification is demonstrated. There is no pneumothorax. Diffuse demineralization of the osseous structures is present. | 51868498 | HISTORY: Weakness, hyperglycemia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest radiograph and chest CTA ___. | Little interval change from the prior exam. Small bilateral pleural effusions and bibasilar linear opacities either reflecting subsegmental atelectasis or scarring, unchanged. |
13751863 | Aeration of the right lung base is slightly improved, though opacification persists. There is blunting of the left costophrenic angle suggestive of persistent small left pleural effusion. Linear opacities within the left mid lung appear unchanged, corresponding with an area of scarring. There is unchanged mild pulmonary edema. Mediastinal and hilar contours are within normal limits. Mild cardiomegaly is unchanged. A left Port-A-Cath terminates in the low SVC, unchanged from prior. | 57752783 | HISTORY: ___-year-old male with lymphoma, status post diuresis due to pulmonary edema. Assess for interval change. COMPARISON: Chest radiograph from ___ and chest CT from ___ PORTABLE UPRIGHT FRONTAL CHEST | Persistent bibasilar opacities, though with slight improved aeration of the right lung base. Unchanged mild pulmonary edema. |
13751863 | Left-sided Port-A-Cath is stable in position with catheter terminating in the distal SVC. There is interval increase in the right-sided pleural effusion with overlying atelectasis, right base consolidation is difficult to exclude. There is also patchy opacity projecting over the right middle lobe which may relate to atelectasis although again underlying infection is not excluded. There is mild diffuse increase in interstitial markings suggesting mild to moderate interstitial edema. The cardiac and mediastinal silhouettes are grossly stable. | 57404796 | HISTORY: Diffuse large B-cell lymphoma and confusion, hyperglycemia. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | Interval increase in right pleural effusion with overlying atelectasis, right mid to lower lung consolidation or infection not excluded in the appropriate clinical setting. Mild to moderate interstitial pulmonary edema. |
13751863 | A left-sided Port-A-Cath tip terminates at the lower SVC. The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs are clear of lobar consolidation with plate-like atelectasis or scarring along the major fissure than in the lower lateral lung zones bilaterally. Blunting of the right costophrenic angle likely represents a small-to-moderate pleural fluid versus thickening. There is no pneumothorax. There is no change from prior exams. | 54773888 | HISTORY: ___-year-old male with hyperglycemia and altered mental status. STUDY: PA and lateral chest radiograph. COMPARISON: ___ chest radiograph and PET-CT from ___. | No radiographic evidence of pneumonia; probable small-to-moderate right pleural effusion versus thickening which is unchanged. |
13974413 | There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The aorta is tortuous. The imaged upper abdomen is unremarkable. The bones are intact. | 58495954 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with tia, diplopia // ? pna? dissection- cta head/neck TECHNIQUE: Chest PA and lateral COMPARISON: None | No acute cardiopulmonary process. |
13710624 | PA and lateral views of the chest provided. Bibasilar atelectasis noted without convincing evidence for pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen. | 57453229 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ y.o. male with history of deviated septum s/p septoplasty and nasal splints w/ Dr. ___ (___) presenting with fevers to 102 and headaches // Eval for infection COMPARISON: None | Bibasilar atelectasis. No pneumonia. |
13140250 | Heart size is is at the upper limits of normal or slightly enlarged. Cardiomediastinal silhouette and hilar contours are within normal limits. Mild prominence of upper zone vessels may relate to slight the low volumes. No overt CHF or focal infiltrate or consolidation detected. Pleural surfaces are clear without effusion or pneumothorax. No evidence of pneumoperitoneum. Mild thoracic levo convex curvature. | 58724881 | EXAMINATION: Chest radiograph INDICATION: Severe abdominal pain with radiation to shoulders. Evaluate for free air. TECHNIQUE: Up right portable frontal chest radiograph. s COMPARISON: None. | No acute cardiopulmonary abnormality. No evidence of pneumoperitoneum. |
13591987 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. | 50321931 | INDICATION: Intermittent cough and dyspnea. Evaluate for hyperinflation or consolidation. COMPARISONS: Chest radiograph ___. | Normal chest radiograph without evidence of pneumonia or COPD. |
13824470 | Heart size, mediastinal and hilar contours are normal. A subtle area of increased opacity is present in the right infrahilar region, with otherwise grossly clear lungs. There are no pleural effusions or acute skeletal findings. | 51270153 | PA AND LATERAL CHEST ___, ___ No prior radiographs for comparison. | Nonspecific patchy right infrahilar opacity, which may be due to patchy atelectasis, focal aspiration or an early focus of pneumonia. Short-term followup radiographs are suggested to assess for resolution. |
13824470 | Frontal and lateral chest radiographs were obtained. There is a persistent right infrahilar opacity, unchanged from prior study. No pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal and hilar contours are normal. | 55663749 | HISTORY: Patient with prior infrahilar opacity, eval interval change. COMPARISON: ___. | Unchanged right infrahilar opacity, likely reflective of patchy atelectasis, aspiration pneumonitis, or early consolidation. |
13160307 | PA and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. | 59935874 | CHEST, TWO VIEWS; ___ HISTORY: ___-year-old female with cough for one week. COMPARISON: None. | No acute cardiopulmonary process. |
13145971 | Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. The osseous structures are unremarkable. | 56773368 | HISTORY: ___ year old female with upper back pain post MVC. COMPARISON: None. | No acute cardiopulmonary process. |
13177283 | New heterogeneous opacity adjacent to the right heart border, which could be post surgical air in the mediastinum or unusual atelectasis. It should be followed until it can be identified or results. No pneumothorax or pleural effusion is identified. Port-a-Cath is seen with the tip terminating in the right atrium, close to the tricuspid valve. There is no IJ catheter seen on this film and upon discussion with the service intern, it was clarified that there was no IJ placement. The cardiomediastinal silhouette appears normal. A drain is seen in the right upper quadrant. | 50439684 | EXAMINATION: Chest portable radiograph INDICATION: ___ year old man s/p right hepatectomy with new IJ // line placement TECHNIQUE: Portable AP radiograph COMPARISON: Preoperative chest radiograph from ___ CT chest with contrast ___ | Unusual postoperative pneumomediastinum or atelectasis. Radiographic follow-up advised. Port-a-Cath is seen with tip terminating in the right atrium, close to the tricuspid valve. No evidence of pneumothorax or pleural effusion. |
13069147 | The cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged with diffuse calcification of the thoracic aorta noted. The lungs are hyperinflated with lucency in the lung apices compatible with emphysema. Blunting of the costophrenic angles appears chronic, likely reflects chronic pleural thickening. No pulmonary vascular engorgement is present. There is no focal consolidation. No pneumothorax is present. There are no acute osseous abnormalities. | 52148556 | HISTORY: Emphysema with increasing shortness of breath over the past 2 days, weakness, dysphagia. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Emphysema. No radiographic evidence for pneumonia. |
13069147 | Frontal and lateral views of the chest were obtained. The lungs are hyperinflated, with flattening of the diaphragms, consistent with chronic obstructive pulmonary disease and pulmonary emphysema. There is a a spiculated opacity projecting over the medial right upper hemithorax, which was not clearly seen on the prior study. Minimal bilateral upper lobe pulmonary parenchymal scarring is again seen. No pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is not enlarged. | 58760699 | WET READ: ___ ___ ___ 1:33 PM COPD, pulmonary emphysema. spiculated opacity projecting over medial right upper hemithorax, not clearly seen on prior CXR from ___. f/u with chest CT recommended to evaluate for pulmonary mass. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Abdominal pain. COMPARISON: ___. | Spiculated opacity projecting over the medial right upper lobe for which further evaluation with chest CT is recommended. Pulmonary emphysema. |
13180049 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. There is no widening of the mediastinum. Hilar contours are stable. | 52049761 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest pain, question widened mediastinum. COMPARISON: ___. | No acute cardiopulmonary process. The mediastinum does not appear widened. |
13517034 | PA and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. There is extensive bridging osteophytosis of the thoracic spine consistent with DISH. A cholecystectomy clip can be seen in the right upper quadrant of the abdomen. | 58685413 | HISTORY: Chest pressure. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
13517034 | Subtle lingular opacity seen on the frontal view, not substantiated on the lateral view, may be due to atelectasis, less likely pneumonia. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. DISH is seen along the thoracic spine. | 56202899 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cp // eval for ptx TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Subtle lingular opacity seen on the frontal view, not substantially on the lateral view, may be due to atelectasis, less likely pneumonia. No findings to suggest pneumothorax. |
13829819 | Single portable view of the chest is compared to previous exam from ___. There is minimal increased right basilar opacity, potentially due to atelectasis given relatively lower lung volumes. Left lung remains clear. Lateral costophrenic angles are sharp. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures. | 50514816 | PORTABLE CHEST, ___ HISTORY: ___-year-old male with substernal chest pain. | Slightly increased right basilar opacity, potentially due to atelectasis; however, PA and lateral may offer additional detail if desired. Otherwise, unremarkable portable chest x-ray. |
13272956 | The patient is status post median sternotomy and aortic valve replacement. Previously noted right internal jugular central venous catheter has been removed. There is mild enlargement of the cardiac silhouette which is unchanged. Aortic knob is calcified. There are low lung volumes. There is crowding of the bronchovascular structures but no overt pulmonary edema. Retrocardiac opacity persists, and a small left pleural effusion likely remains. There is no pneumothorax. No acute osseous abnormality is seen. | 56719072 | INDICATION: Dyspnea and cough. COMPARISON: ___. UPRIGHT AP VIEW OF THE | Persistent retrocardiac opacity likely reflecting atelectasis though infection cannot be excluded. Small left pleural effusion, relatively unchanged. Crowding of the bronchovascular structures without overt pulmonary edema. |
13272956 | Low lung volumes are noted along with obscuration of the left costophrenic angle, likely representing a pleural effusion. There is mild pulmonary vascular congestion. The right IJ catheter terminates in the right atrium. There is no focal consolidation or pneumothorax. Median sternotomy wires and aortic valve replacement are noted. There is no change in the cardiomediastinal silhouette. | 54416529 | INDICATION: Recent aortic valve replacement. Evaluation for effusion. TECHNIQUE: Portable AP chest radiograph. COMPARISON: ___ through ___. | Left pleural effusion and mild pulmonary vascular congestion. |
13454690 | Rotated positioning. An NG tube is present --___ tip extends beneath the diaphragm and overlies the expected site of the gastric fundus, beyond the GE junction. Cardiomediastinal silhouette is unchanged. No focal consolidation, overt CHF, or gross effusion is identified. Minimal blunting of the left costophrenic angle cannot be entirely excluded. There is linear bibasilar linear atelectasis. The 2 mm nodule identified on the ___ chest CT in the right lower lobe is not definitively identified on this examination, presumably due to limitations of the modality. No free air seen beneath the diaphragms. Incidental note is made of osteopenia, scoliosis and degenerative change the thoracic and upper lumbar spine, with mild endplate scalloping of at least two mid thoracic vertebral bodies and of severe degenerative changes of the left glenohumeral joint. | 53531234 | EXAMINATION: DX CHEST PORT LINE/TUBE PLCMT 1 EXAM INDICATION: ___ year old woman with SBO s/p NGT placement // confirm NG location COMPARISON: Chest x-ray from ___. Targeted review of chest CT from ___ | NG tube tip extends beneath diaphragm in overlies the expected site of the gastric fundus. Left base atelectasis. No frank consolidation, overt CHF , or gross effusion. The 2 mm nodule identified on the ___ chest CT in the right lower lobe is not definitively identified on this examination, presumably due to limitations of the modality. At the time of that exam, the following was recommended: If there are risk factors for malignancy, ___ month follow-up chest CT is recommended to evaluate for stability. In the absence of such risk factors, no further follow-up is required. |
13907036 | One portable semi-erect view of the chest. There is a triangular-shaped opacity in the left hemidiaphragm that likely represents either pneumonia or atelectasis. There is also a new heterogeneous opacity in the right lung base that is either atelectasis or pneumonia. The upper lung zones are clear. An NG tube ends in the stomach and its last side port is near the EG junction. There is no pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours are normal. There is no pulmonary vascular congestion. | 59894858 | INDICATION: Status post ex lap, LOA, with desaturations and cough, question pulmonary process. COMPARISON: Chest radiographs on ___. | Bibasilar opacities either represent atelectasis or pneumonia. Correlate clinically. NG tube ends in the stomach with its last side port near the EG junction. Recommend advancing 2-3 cm. |
13308501 | There has been interval removal of a left-sided PICC.No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. | 52821142 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with recent osteo of right foot presents with fevers, chills, malaise, increased sputum production // signs of infection TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13406611 | The heart size is normal. The mediastinal as well as the hilar contours are unremarkable. There are calcified left AP window lymph nodes compatible with prior granulomatous disease. Calcified granuloma in the left upper lung field is also noted. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There is hyperinflation of the lungs with flattening of the diaphragms suggestive of underlying COPD. No pneumothorax or pleural effusion is seen. There are no acute osseous abnormalities. | 57916579 | HISTORY: Dysphagia for 6 months. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. Findings compatible prior granulomatous disease. |
13327487 | Portable semi-upright view of the chest demonstrates low lung volumes. Retrocardiac opacity partially obscures left hemidiaphragm. Left costophrenic angle is obscured, suggestive of small pleural effusion. The right lung is clear. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged abdomen is unremarkable. | 53577659 | INDICATION: Patient with fever. Assess for pneumonia. COMPARISONS: Chest radiograph ___ ___. | Retrocardiac opacity, may represent atelectasis or infection in the appropriate clinical setting. |
13327487 | 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. | 53128452 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M w adrenal insufficiency presents w weakness x4d please evaluate for occult infxn TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior radiographs most recent on ___. | No acute cardiopulmonary abnormality. |
13764544 | Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. | 51937770 | INDICATION: Diffuse rash and chills. COMPARISONS: None available. | No acute cardiopulmonary process. |
13129645 | Frontal and lateral views of the chest were obtained. The heart is of top normal size with unremarkable cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. Previously seen tiny right apical pneumothorax is no longer identified. No pleural effusion. Pulmonary vasculature is unremarkable. ___, ___, ___, and ___ right posterolateral rib fractures have undergone interval minimal bony callus bridging. No new fracture visualized. No radiopaque foreign body. | 54771320 | INDICATION: ___-year-old male with dizziness and Afib. Evaluate for infection or new CHF. COMPARISONS: Multiple prior chest radiographs, most recently of ___. | No acute cardiopulmonary process. |
13129645 | There are non-displaced fractures of the third through sixth right posterior ribs, with segmental fractures of the fifth and sixth ribs. There is a small pneumothorax on the right. There is no shift of the mediastinum. There is no pleural fluid on the right. The left hemithorax is clear without pneumothorax or pleural effusion. There is no consolidation. The aorta is tortuous. There is mild cardiomegaly. The mediastinal silhouette is normal. Multilevel degenerative changes are noted in the thoracic spine. | 53786084 | INDICATION: Right shoulder and rib pain after a fall. COMPARISONS: None. | Nondisplaced fractures of the third through sixth right posterior ribs with segmental fractures of the fifth and sixth ribs. Small right-sided pneumothorax without mediastinal shift. Mild cardiomegaly. |
13646671 | PA and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. | 54308407 | HISTORY: ___-year-old woman with chest pain, shortness of breath. COMPARISON: None. | Normal radiographs of the chest. |
13819460 | PA and lateral views of the chest were reviewed. A large right mid lung opacification extends anteriorly from the hila to the anterolateral chest wall. The left lung is clear. The heart size is normal and there is no evidence of vascular congestion, pleural effusion or pneumothorax. There are no concerning osseous or soft tissue lesions. | 51755451 | INDICATION: Cough for two weeks with blood-tinged sputum. COMPARISON: None. | Large right mid lung opacification could be postobstructive pneumonia or a mass. CT would be necessary for full evaluation of a possible underlying lesion however an alternative would be to treat for three to four weeks to see if there is clearing. |
13819460 | There is no consolidation, pleural effusion, or pneumothorax. Mildly enlarged cardiac silhouette is stable when compared to the prior study. | 55633674 | INDICATION: History: ___M with septic knee // preop TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary process seen. |
13819460 | The previously seen right hilar mass has resolved. Mild interstitial opacities, with slight lower lobe predominance can be interstitial edema in the acute setting. Mild cardiomegaly. No pleural effusions or pneumothorax. | 59148315 | INDICATION: ___ year old man with crackles over RLL, desaturation // evaluate for infiltrate Surg: ___ (knee arthroscopy) COMPARISON: ___ | Mild likely interstitial edema. Suggest diuresis and repeat chest radiograph to see if this is interstitial pullmonary disease instead. . No pneumonia. |
13509311 | As compared ___, there are low lung volumes, with worsening bibasal atelectasis and likely small pleural effusions. The remainder of the lungs are clear. The cardiac silhouette is largely obscured. Moderate calcifications of the aortic arch. No pneumothorax. | 50726464 | INDICATION: ___ year old man s/p laparoscopic cholecystectomy, now with congested cough // Assess for pna | Low lung volumes with worsening bibasal atelectasis. |
13545379 | Portable AP radiograph was provided. Lung volumes are slightly low. There is no focal consolidation, pleural effusion or pneumothorax. There is bibasilar atelectasis, right greater than left. Right shoulder replacement hardware is present. Multiple monitoring devices overly the lungs. The cardiomediastinal silhouette is normal. | 50061886 | INDICATION: ___-year-old man with COPD, right interscalene block for shoulder surgery. Dyspnea in PACU. Evaluate for pneumothorax. COMPARISONS: None. | Bibasilar atelectasis. No pneumothorax. |
13091131 | Sutures are noted within the left upper lobe. Mediastinal and hilar contours are unremarkable. The left lung appears clear with no focal consolidation or pleural effusion. Opacification within the right middle lobe noted only on the lateral view most likely represents atelectasis. There is no pneumothorax. | 59091090 | INDICATION: ___-year-old man with laparoscopic esophageal tumor enucleation, check for any interval change. COMPARISON: Portable AP chest radiograph ___. PA AND LATERAL CHEST | Opacification noted within the right middle lobe only on the lateral view likely represents atelectasis. |
13091131 | Both lungs are well expanded and clear. There are no opacities or nodules concerning for malignancy or metastatic disease. Mediastinal and hilar contours are normal. Heart is of normal size. There is no pleural abnormality. | 53303460 | TECHNIQUE: PA and lateral chest views were reviewed. No prior chest radiograph was available for comparison. | No evidence of intrathoracic metastatic disease. |
13878071 | There is biapical scarring. The lungs are otherwise clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Surgical clips are noted in the upper abdomen. No acute osseous abnormalities. | 57363985 | INDICATION: ___F with syncopal vs seizure episode // Pneumonia TECHNIQUE: PA and lateral views the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13155939 | AP single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. The patient remains intubated, the ETT in unchanged appropriate position. NG line and right-sided internal jugular approach central venous line unchanged. No pneumothorax. The previously described bilateral patchy heterogeneous parenchymal infiltrates have further decreased and present now with a few patchy confluenting infiltrates in the lung bases. No new parenchymal abnormalities are identified, and the lateral pleural sinuses remain free from any major fluid accumulation. | 56077187 | TYPE OF EXAMINATION: Chest, AP portable single view. INDICATION: ___-year-old male patient, status post exploratory laparotomy, possible ARDS, evaluate for interval change. | Further improvement of previously identified parenchymal pulmonary infiltrates. |
13146802 | A dual-chamber left chest wall pacemaker is unchanged in position. Lung volumes are slightly low. There is no focal consolidation, pleural effusion or pneumothorax. The heart is stably enlarged. Median sternotomy wires are intact. | 50604977 | INDICATION: ___-year-old man with recent intraparenchymal hemorrhage and history of CHF. Evaluate for interval change. COMPARISON: Chest radiograph from ___. | No significant change since prior study and no acute cardiopulmonary process. |
13146802 | Portable AP semi-upright chest radiograph was provided. A dual-chamber left chest wall pacemaker is present with leads in the right atrium and right ventricle. Lung volumes are low but there is no focal consolidation, pleural effusion or pneumothorax. The heart is enlarged. The bones are intact. | 53752047 | INDICATION: ___-year-old man with pacemaker. Evaluate type and if there is an infectious process. COMPARISONS: None. | Dual chamber pacemaker with leads in the right atrium and right ventricle. Low lung volumes and cardiomegaly. |
13146802 | Serial chest radiographs were performed while placing a Dobbhoff feeding tube. Initial images show the tip of the catheter at the gastroesophageal junction. Subsequent images show the catheter within the proximal stomach overlying the left upper quadrant. Pacemaker leads are unchanged in position and intact. Low lung volumes with severe cardiomegaly is unchanged. There has been no other significant change compared to recent prior examination. | 52624734 | INDICATION: ___-year-old male status post Dobbhoff tube placement. Assess position. COMPARISON: Chest radiograph from ___ at 11:59 am SUPINE PORTABLE CHEST | Dobbhoff feeding tube tip in the stomach. No significant change compared to prior. |
13146802 | There are intact median sternotomy wires and a left-sided chest wall pacemaker with leads terminating in the right atrium, right ventricle, and left chest wall. The heart is enlarged. There is no evidence of left lower lobe pneumonia, consolidation, or effusion. Osseous structures are unremarkable. | 52334234 | EXAMINATION: CHEST PA AND LATERAL INDICATION: ___ male history of ischemic cardiomyopathy with sCHF, recent NSTEMI ___ in the setting of PNA, DM, CKD, afib, and recent brain IPH after fall while on coumadin who was sent from his cardiologist's office due to EKG changes as well as chest pain, SOB for roughly 1 week. CXR at OSH with left lower lobe pneumonia although no clical signs of pna. R/o pneumonia, pulmonary edema; please perform in AM of ___. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___, and ___. | No evidence of left lower lobe pneumonia or pulmonary edema. Cardiomegaly is consistent with known history of ischemic cardiomyopathy and systolic CHF. |
13236238 | Heart size is moderately enlarged with a large hiatal hernia noted, increased in size compared to the previous study. The mediastinal and hilar contours are otherwise unchanged. There is mild pulmonary vascular congestion. Atelectasis is seen in the left lung base. No pleural effusion, focal consolidation or pneumothorax is present. Multiple compression deformities are seen within the lower thoracic spine, new from the previous examinations, but likely chronic in age. Remote left-sided rib fractures are also present. | 59049094 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___F altered mental status TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest CT and chest radiograph ___ | Large hiatal hernia. Mild pulmonary vascular congestion. Interval development of chronic appearing lower thoracic vertebral body compression deformities and remote left-sided rib fractures. |
13275778 | Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged with a small to moderate size hiatal hernia again noted. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Bridging anterior osteophytes are noted within the thoracic spine compatible with DISH. | 57034698 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with history of syncopal episode with fall on left side. Pain in the left hip, thigh, difficulty flexing ankle and knee. TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: ___ chest radiograph | No acute cardiopulmonary abnormality. Small to moderate size hiatal hernia. |
13416265 | Compared with the prior radiograph, there is a new right lower lobe opacity concerning for pneumonia. The heart size, mediastinal, and hilar contours are normal. No pneumothorax or effusions. | 53492692 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with fever. Evaluate for pneumonia. TECHNIQUE: Single portable AP view of the chest. COMPARISON: Chest radiograph from ___ and ___. | New right lower lobe opacity is concerning for pneumonia. |
13757235 | PA and lateral views of the chest provided. Lungs appear hyperinflated. 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. | 53477231 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with fever, chills, dyspnea. COMPARISON: None | No acute intrathoracic process. |
13822447 | PA and lateral views of the chest provided. There is prominence of the perihilar vessels which likely represents mild congestion. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. | 59611882 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough // ?pna COMPARISON: Chest radiograph ___. | Prominence of the perihilar vessels likely represents mild congestion. No evidence of pneumonia. |
13822447 | Lung volumes are slightly low. Atelectasis at the lung bases is mild and improved since ___. There is mild pulmonary vascular congestion. Heart size is top normal. Prominence of the right hilum likely reflects a distended pulmonary artery. There is no large pleural effusion or pneumothorax. | 58645906 | INDICATION: ___ year old man with new onset diastolic heart failure, with persistent hypoxia. // ?pulmonary edema, pleural effusion TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs ___, ___ and ___ | Mild pulmonary vascular congestion is improved. Minimal bibasilar atelectasis is also better. |
13822447 | The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are noted along the lower thoracic spine. | 51121509 | CHEST RADIOGRAPHS HISTORY: Chest pressure. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. No significant change. |
13247312 | Multiple focal patchy opacities are seen in the bilateral lungs, concerning for multifocal pneumonia. The heart size is normal. No pulmonary edema, pleural effusion, or pneumothorax. A radiopaque circular foreign body is seen projecting over the left lung base, possibly a nipple ring. | 54348997 | WET READ: ___ ___ 12:53 PM Multiple focal patchy opacities are seen in the lungs, concerning for multifocal pneumonia or PCP. Please correlate with patient's CD4 count. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with hiv, sob, cough // eval for consolidation TECHNIQUE: Chest PA and lateral COMPARISON: None. | Multiple focal patchy opacities are seen in the lungs, concerning for multifocal pneumonia or PCP. Please correlate with patient's CD4 count. |
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