subject_id
stringlengths 8
8
| findings
stringlengths 93
1.83k
| study_id
stringlengths 8
8
| background
stringlengths 10
2.5k
| impression
stringlengths 16
1.06k
|
|---|---|---|---|---|
13349564 | Linear markings within the left lower lobe and left mid lung are likely secondary to scarring. The lungs are otherwise clear without any focal opacities, pleural effusions, pulmonary edema, or pneumothorax. The heart and mediastinal contours are normal. | 59282929 | HISTORY: Shortness of breath, evaluate for pneumonia or heart failure. Evaluate for evidence of COPD. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: Chest radiographs from ___. | No acute cardiopulmonary process. |
13245486 | There are low lung volumes. The heart size is normal. The mediastinal and hilar contours are unremarkable, without evidence of mediastinal widening. Mild atelectasis is demonstrated within the lung bases. No focal consolidation, pleural effusion or pneumothorax is otherwise identified. There are no acute osseous abnormalities. | 50659681 | INDICATION: Substernal chest pain and epigastric pain. COMPARISON: None. PA AND LATERAL VIEWS OF THE | Low lung volumes with mild bibasilar atelectasis. |
13245486 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 51813767 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with new atrial flutter TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13560405 | The lung volume is small. Bilateral lower lobe opacities have increased compared to prior, more on the left. The right opacity is more likely atelectasis. Although the left lower lobe opacities do not obscure the left heart border or left hemidiaphragm, pneumonia cannot be ruled out. A lateral chest radiograph could provide more definitive information. No pleural effusion or pneumothorax. The hila and pulmonary vasculature are normal. Cardiomediastinal silhouette is unchanged. | 52671554 | INDICATION: ___ year old man with vomiting, concern for aspiration // possible aspiration TECHNIQUE: Portable chest radiograph. COMPARISON: Chest radiograph dated ___. | Left lower lobe opacities could be due to pneumonia. Lateral views radiograph would provide more definitive information. The right lower lobe opacity is more likely atelectasis. |
13852380 | Portable AP view of the chest was obtained. Calcifed granuloma in the upper right lung. Low lung volumes and resultant left basilar atelectasis. No focal air space consolidation or pulmonary edema. No pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal. No bony abnormalities. No free air below the right hemidiaphragm. | 59667803 | INDICATION: Shortness of breath. COMPARISON: Chest radiograph, ___. | No acute intrathoracic process. |
13852380 | Heart size is mildly enlarged. Aorta is tortuous but unchanged. There are diffuse calcifications of the thoracic aorta. The pulmonary vascularity is normal. Linear opacities within the left lower lobe may reflect subsegmental atelectasis versus scarring. Calcified granuloma in the right upper lobe is unchanged. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities identified. | 50060632 | HISTORY: Audible wheeze, dry cough and shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___. | No acute cardiopulmonary abnormality. Left lower lobe segmental atelectasis versus scarring. |
13079394 | The heart size is normal. Minimal tortuosity of the thoracic aorta is noted. The mediastinal and hilar contours otherwise are within normal limits. The pulmonary vascularity is normal. Minimal patchy opacity is demonstrated within the lower lobes on the lateral view, but difficult to localize on the frontal view, possibly within the left lower lobe. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen. | 59299120 | HISTORY: ___'s, acute onset of shortness of breath. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: None. | Patchy opacity within the lower lobe, possibly the left lower lobe, which could reflect atelectasis but infection is not excluded. |
13982959 | Lungs are clear. There is no pleural effusion or pneumothorax. The heart size is normal. Mediastinal silhouette, hilar contours and pulmonary vasculature are normal. | 59107071 | INDICATION: ___-year-old male with shortness of breath after smoking marijuana. Evaluate for pneumothorax. COMPARISON: No prior study available for comparison. CHEST, PA AND LATERAL | No acute intrathoracic abnormality. |
13808833 | The lungs are underinflated. There is no focal consolidation or pneumothorax. Blunting of the right costophrenic angle suggests a small pleural effusion. There also appears to be a trace left pleural effusion. Patchy, ill-defined opacities in the lung bases may reflect atelectasis or infection. There is possible mild pulmonary vasculature congestion. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 53279346 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with shortness of breath COMPARISON: None available | Low lung volumes with patchy, ill-defined opacities in the lung bases which may reflect atelectasis or infection in the correct clinical setting. Follow up radiographs with better inspiratory effort may provide better evaluation of the lung bases. Mild pulmonary vascular congestion and small bilateral pleural effusion, larger on the right. |
13068947 | Frontal and lateral views of the chest were obtained. Mild lateral left base atelectasis/scarring is similar to the prior exam from ___. No new focal consolidation is seen. There is no pneumothorax. No pleural effusion is seen. No large pleural effusion is seen. The cardiac and mediastinal silhouettes are unremarkable. | 59169971 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Left-sided chest pain. COMPARISON: ___. | No significant interval change. |
13068947 | Frontal and lateral views of the left chest were obtained. Mild left base atelectasis is seen. No focal consolidation, or large pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal. The aorta is tortuous. | 54393555 | EXAM: CHEST FRONTAL AND LATERAL VIEWS. CLINICAL INFORMATION: ___-year-old male with left-sided chest pain. COMPARISON: None. | Mild left base atelectasis. |
13077716 | PA and lateral views of the chest were obtained. Lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 52582057 | CHEST RADIOGRAPH PERFORMED ON ___. CLINICAL HISTORY: Cough, assess for pneumonia. | No evidence of pneumonia. |
13138440 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 58051749 | HISTORY: Cough, syncope. TECHNIQUE: Chest: Frontal and lateral views. COMPARISON: None. | No acute cardiopulmonary process. |
13893479 | The Lungs are clear without any focal opacities, pleural effusion, pulmonary edema or pneumothorax. Bibasilar opacities are likely secondary to atelectasis and soft tissue density from overlying breast tissue. The heart is at the upper limit of normal in size. The mediastinal contours are normal. | 55074881 | HISTORY: Chest pain, evaluate for pneumonia. TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___ and CT from ___. | No acute cardiopulmonary process. |
13884592 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable. | 50286711 | CHEST RADIOGRAPHS HISTORY: Cough. History of bipolar disorder. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13229031 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. There is vague opacity measuring about 25 mm that projects over the lateral right upper lung. Projecting over the upper mid left lung is a more linear opacity measuring about 7 mm in width and perhaps 4-5 cm in length. Elsewhere, the lungs appear clear. There is slight leftward convex curvature centered along the lower thoracic spine as well as very mild exaggeration of kyphotic curvature. Mid thoracic interspaces are mildly narrowed. | 55310007 | WET READ: ___ ___ ___ 9:52 PM Vague opacities projecting over each upper lung although pneumonia doubted; chest CT suggested when appropriate to examine for nodules. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPHS HISTORY: Headache and weakness. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No definite evidence of acute disease. Patchy opacities in each upper lung, with a morphology suggestive of scarring on the left, while particularly referring to the right, there is potentially a substantial nodule. When clinically appropriate, chest CT evaluation is recommended as well as correlation with prior radiographs, if available. |
13866250 | 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. No rib fracture or compression deformity of the thoracic spine is evident on this radiographic examination. | 53527138 | HISTORY: ___-year-old female with fall. COMPARISON: Chest radiograph from ___. FRONTAL AND LATERAL CHEST | No acute cardiopulmonary process. |
13357137 | There are diffuse bilateral increased interstitial markings, hilar indistinctness and vascular upper redistribution compatible with interstitial pulmonary edema. Of note a 1.5 cm irregular nodule is seen adjacent to the mediastinum in the left mid lung. A small right-sided pleural effusion is present. No left-sided effusion is identified. There is no pneumothorax. Moderate cardiomegaly is stable. Sternotomy wires are intact. | 52478296 | WET READ: ___ ___ ___ 2:55 PM 1. Interstitial pulmonary edema in the setting of stable cardiomegaly. 2. Irregular 1.5 cm nodule adjacent to the mediastinum in the left mid lung was not clearly seen in the previous exam and likely represents a pulmonary vessel on end and further assessed with chest CT on a nonemergent basis should be considered. WET READ VERSION #1 ___ ___ ___ 10:22 AM 1. Interstitial pulmonary edema in the setting of stable cardiomegaly. 2. Irregular 1.5 cm nodule adjacent to the mediastinum in the left mid lung was not clearly seen in the previous exam and should be further assessed with CT on a nonemergent basis. ______________________________________________________________________________ FINAL REPORT EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: Study ___-year-old male with lower extremity swelling, shortness of breath, dizziness. TECHNIQUE: PA and lateral chest radiographs COMPARISON: Multiple prior chest radiographs, most recent on ___. | Interstitial pulmonary edema in the setting of stable cardiomegaly. Irregular 1.5 cm nodule adjacent to the mediastinum in the left mid lung was not clearly seen in the previous exam and should be further assessed with CT on a nonemergent basis. |
13357137 | Moderate cardiomegaly is stable. There are aortic calcifications, stable. Median sternotomy wires are re-demonstrated. There is no pleural effusion or pneumothorax. There is no focal consolidation. There is no evidence of pulmonary edema or pulmonary vascular congestion. | 57299670 | HISTORY: Shortness of breath and cough, evaluate for acute process. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph on ___. | No acute cardiopulmonary process. |
13357137 | There is mild-to-moderate pulmonary vascular congestion with mild interstitial edema, not significantly changed in appearance compared to the prior radiographs from ___. There is minimal bilateral lower lobe atelectasis. There is no focal consolidation. Moderate cardiomegaly is not significantly changed. Aortic calcifications are redemonstrated. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are noted. | 57081571 | INDICATION: Cough, chest pain, and fever. Assess for pneumonia. COMPARISON: Chest radiographs from ___. | Pulmonary vascular congestion with mild interstitial edema. No focal consolidation. Unchanged moderate cardiomegaly. |
13653653 | The heart is normal in size. The hilar and mediastinal contours are normal. The lungs are well expanded and clear. There are no pleural effusions or pneumothorax. There is mild scoliosis of the thoracic spine. Otherwise, remaining osseous structures are unremarkable. | 54870318 | INDICATION: ___-year-old female patient with new left-sided SAH. Study requested to rule out an acute process. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: Portable AP chest radiograph. | No radiographic evidence of an acute cardiopulmonary process. |
13894879 | The ETT terminates 3 cm above the carina. The dobhoff courses below the diaphragm and is seen curling in the pyloric region. There is a line, which takes the course of a left PICC, but does not appear to enter the chest. All other lines and tubes are unchanged. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 57805228 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman s/p TVR/PPM // eval dobhoff placement TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: Chest radiograph dated ___. | Appropriate positioning of the ETT and dobhoff. New line, which appears to take the course of a left PICC, but does not appear to enter the chest. Unchanged appearance of all other lines and tubes. |
13894879 | Mild interstitial pulmonary edema has slightly progressed. Left moderate pleural effusion has also increased. Right-sided pleural effusion with fluid tracking along the minor fissure is also slightly larger. Moderate to severe cardiomegaly. Prior median sternotomy and MVR. Sternal wires are intact. Dual lead pacemaker with the tips in similar position. | 58694946 | INDICATION: ___F with rheumatic heart disease s/p mechanical MVR, recent second redo-sternotomy with TVR tissue valve, AFib, PPM placement in ___, presenting with dyspnea and CHF. // interval change of pulm edema, signs of infection COMPARISON: ___ | Interval worsening of interstitial pulmonary edema and bilateral pleural effusions. |
13894879 | There has been prior median sternotomy. Heart demonstrates multi chamber enlargement has increased slightly in size since the prior study. Permanent pacemaker remains in place with leads in the right atrium and right ventricle. . The mediastinal and hilar contours are normal. The pulmonary vasculature is increased but stable since the prior study. . Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 59166366 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with AI, TR, CAD // pre-op baseline study TECHNIQUE: Chest PA and lateral COMPARISON: None. | Marked cardiomegaly and chronic cephalization of pulmonary vasculature. No evidence of acute pulmonary edema. |
13894879 | Compared to ___, a small right effusion is now larger, likely with an element of underlying collapse and/or consolidation at the right base. Otherwise, I doubt significant interval change. Again seen is background COPD and chronic cardiomegaly, with sternotomy wires. One pacemaker device overlies the right chest, with apparent abandoned lead and additional lead overlying the right heart. Another pacemaker overlies the right upper abdomen and is associated with epicardial leads, which are similar in configuration. Mild vascular plethora, though doubt overt CHF. No left-sided effusion. Probable slight interval improvement in atelectasis at the left base. Subtle parenchymal abnormalities might not be apparent radiographically. Left IJ central line tip overlies the lower SVC. No pneumothorax is detected. | 55869736 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with s/p redo sternotomy TVR and PPM epicardial leads // eval for effusion or infiltrates COMPARISON: Chest x-ray dated ___ at 07:40 | Small right pleural effusion as increased compared with ___, with probable underlying collapse and/or consolidation. Otherwise, doubt significant interval change. |
13894879 | A supine portable frontal chest radiograph demonstrates unchanged position of pacer devices and a left subclavian approach central catheter. Sternal wires are intact. There is no definite focal consolidation. There is mild vascular congestion with early pulmonary edema. There is no appreciable pleural effusion or pneumothorax, though not optimally evaluated on supine radiograph. The visualized upper abdomen is unremarkable. | 50193685 | INDICATION: Evaluate for pneumonia in a patient with altered mental status. | No definite focal consolidation. Severe cardiomegaly and mild vascular congestion with early pulmonary edema. |
13894879 | In comparison to the chest radiographs obtained ___, there is an unchanged to minimally enlarged, partially loculated, right pleural effusion with extension into the minor fissure and an enlarged, small, left pleural effusion. Severe cardiomegaly with is unchanged without pulmonary vascular congestion or pulmonary edema. Cardiomediastinal hilar silhouettes are stable. | 59719392 | EXAMINATION: PA and lateral chest radiographs INDICATION: ___ year old woman with CHF // r/o effusion TECHNIQUE: Chest PA and lateral COMPARISON: PA and lateral chest radiographs dated ___ | Unchanged to minimally enlarged, moderate, right pleural effusion and mildly enlarged, small, left pleural effusion. |
13894879 | Persistent severe cardiomegaly, unchanged since ___. Since ___, pulmonary interstitial edema has improved. Moderate right pleural effusion with a loculated component is mildly improved. Right pectoral pacemaker with lead in right atrium. Abdominal pacemaker with lead in left and right ventricle. There is no pneumothorax. | 57540980 | INDICATION: ___ year old woman s/p tiss TVR // follow up effusion/edema TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ Chest radiograph ___ | Since ___, improved pulmonary edema and decreased size of moderate right pleural effusion with a loculated component. Persistent severe cardiomegaly. |
13894879 | Right-sided pacemaker device is noted with 2 leads noted, 1 terminating in the region the right atrium, and another appearing to be abandoned. Second pacemaker device is noted projecting over the right upper quadrant of the abdomen with leads projecting over the left and right ventricles, unchanged. Patient is status post median sternotomy and aortic valve replacement. Heart size remains severely enlarged. The mediastinal contour is unchanged. Mild pulmonary edema is slightly worse in the interval with mild increased moderate size right pleural effusion, a component which is loculated laterally. Small left pleural effusion is also noted, not substantially changed in the interval. Bibasilar atelectasis is seen. No pneumothorax is identified. | 55520758 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with congestive heart failure TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ | Mild pulmonary edema, slightly worse in the interval with slight interval increase in size of moderate right pleural effusion which is partially loculated laterally. Relatively unchanged small left pleural effusion. Bibasilar atelectasis. |
13267770 | Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion, or pneumothorax. There is no pulmonary vascular congestion. There is mild cardiomegaly. Descending thoracic aorta is slightly tortuous. No acute osseous abnormalities. | 58774355 | HISTORY: ___-year-old male with coronary artery disease status post stent placement with intermittent chest heaviness and lightheadedness. COMPARISON: None. | No definite acute cardiopulmonary process. |
13859475 | PA and lateral views of the chest provided. Left IJ dialysis catheter is again seen. Increased opacities in the right and left lower lobes are concerning for pneumonia. No large effusion or pneumothorax is seen. No convincing signs of edema. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm. | 59385207 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with sob // infiltrate? COMPARISON: ___ | Lower lung opacities concerning for pneumonia. |
13859475 | The left internal jugular approach dialysis catheter terminates in the right atrium. The lungs are clear bilaterally, without focal consolidation, pleural effusions or pneumothorax. The mediastinum, hila and heart are within normal limits. No acute osseous abnormalities. | 58819932 | EXAMINATION: Chest radiograph PA and lateral INDICATION: ___ year old man with Dm, HTN, ESRD, and alagille syndrome // Please assess for any cardiopulmonary abnormalilties. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | No acute cardiopulmonary radiographic abnormality. Tip of dialysis catheter is within the right atrium. |
13859475 | Left IJ dialysis catheter terminates in the right atrium. There is worsening confluent right middle lobe opacification since ___. The left lung is clear. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 52433001 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with esrd on dialysis, now with hemptysis // ?hemorrhage that would cause hemoptysis TECHNIQUE: Portable semi-upright chest radiograph. COMPARISON: Chest radiograph dated ___ 21:09. | Left IJ dialysis catheter in appropriate positioning. Worsening right middle lobe consolidation, which may represent pneumonia or hemorrhage. |
13859475 | Left IJ dialysis catheter terminates in the right atrium. There is worsening confluent right middle lobe opacification since the prior chest radiograph at 01:59. The left lung is clear. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 57758246 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with ESRD on dialysis now with hypertension and getting urgent dialysis // R/o Pulmonary edema TECHNIQUE: Portable semi upright chest radiograph. COMPARISON: Chest radiograph dated ___ at 01:59. | Left IJ catheter appropriate positioning. Continued worsening of right middle lobe opacification. |
13827336 | The lungs remain hyperinflated, with flattening of the diaphragms and increased AP diameter.No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with mild enlargement of the cardiac silhouette. The aorta is tortuous. No pulmonary edema is seen. | 54351445 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with new afib // Eval for infiltrate TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13827336 | Mild enlargement of the heart size is again noted. The aorta is tortuous. Pulmonary vasculature is normal. Lungs remain hyperinflated suggestive of COPD. No pleural effusion, focal consolidation or pneumothorax is present. No displaced fractures are present. The osseous structures are diffusely demineralized. | 54938826 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with posterior rib pain status post motor vehicle collision TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest CTA ___ | No acute cardiopulmonary abnormality. COPD. No displaced fractures are identified. Please note that if there is continued concern for a rib fracture, a dedicated rib series is recommended. |
13853800 | Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. | 53055228 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of altered mental status. COMPARISON: ___. | No acute cardiopulmonary process. |
13853800 | Single AP frontal view of the chest was obtained. There is new blunting of the left costophrenic angle, concerning for trace left pleural effusion. The right lung is clear. No definite focal consolidation is seen. There is no pneumothorax. Cardiac and mediastinal silhouettes are unremarkable. | 51901810 | EXAM: Chest, single AP frontal view. CLINICAL INFORMATION: ___-year-old female with history of altered mental status. COMPARISON: ___. | Blunting of the left costophrenic angle suggests a small pleural effusion. |
13853800 | Mild bibasilar atelectasis, greater on the right than the left. Otherwise, the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are normal. | 54904798 | INDICATION: Evaluation of patient with altered mental status. COMPARISON: Chest radiograph from ___. | Bibasilar atelectasis, greater on the right than the left. Pneumonia must be excluded in the proper clinical setting. |
13853800 | There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There are no diminutive pulmonary vessels. | 50319032 | INDICATION: Sinus tachycardia with planned V/Q scan. COMPARISONS: ___. | No acute cardiopulmonary process. |
13853800 | Evaluation on the lateral radiograph is limited by positioning. Lung volumes are somewhat low, causing some bronchovascular crowding. No significant pleural effusion is seen. Patchy opacity in the posterior lower lobe lobe likely represents atelectasis. The heart size is normal. | 55892026 | INDICATION: Confusion. Elevated lactate. TECHNIQUE: Two views of the chest. COMPARISON: None available. | Patchy left basilar opacity, probably due to atelectasis. |
13227491 | PA and lateral views of the chest demonstrate a 4 mm circular metallic density in the soft tissues of the right medial chest wall anteriorly with an appearance consistent with a metal BB. Deep to this, in the right lower lobe posteriorly are chain sutures. The lungs are clear and well expanded, and heart and mediastinal contours are within normal limits in size and shape. Mild upper thoracic levoscoliosis is present. | 57640699 | HISTORY: Question metal in chest from bullet. ___-year-old man with headache. Plan for MRI. | Metallic BB in the anterior soft tissues of the right chest wall medially in the patient who has had previous thoracic pulmonary surgery on the right. |
13986052 | Assessment is limited by markedly low lung volumes and AP technique. The lungs are without focal consolidation. The cardiomediastinal silhouette is exaggerated due to large epicardial fat pad. No effusions are seen. | 51257842 | INDICATION: Shortness of breath, assess for pneumonia or CHF. TECHNIQUE: Portable AP upright radiograph of the chest. COMPARISON: Chest radiograph from ___ and CT torso from ___. | Limited study due to extremely low lung volumes without acute intrathoracic process. |
13986052 | Frontal and lateral views of the chest were obtained. The cardiac and mediastinal silhouettes stably enlarged with the cardiomediastinal silhouette exaggerated by fat. No definite focal consolidation is seen. There is no pleural effusion or evidence of pneumothorax. Surgical clips are again seen projecting over the right axilla. There are degenerative changes along the spine. | 53036724 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Dizziness. COMPARISON: ___. | No acute cardiopulmonary process. Stable cardiomediastinal silhouette. |
13986052 | Lateral in frontal chest radiographs demonstrate mild cardiomegaly unchanged since ___. There is a mildly dilated descending aorta. Hilar contour are otherwise unremarkable. The lungs are clear bilaterally without pulmonary edema. There is no pneumothorax or pleural effusion. The visualized osseous structures are unremarkable. | 55776713 | HISTORY: ___-year-old male with right lateral chest pain after falling asleep in chair. COMPARISON: Chest radiograph dated ___ as well as ___. | No findings to explain right lateral chest pain. |
13502604 | The lungs are well expanded with fibrotic changes in the lung bases bilaterally which are consistent with findings from previous CT. Though there is blunting within the left costophrenic angle, it most likely represents pleural thickening and scarring with some adjacent atelectasis; no pleural effusion is identified. The patient is status post median sternotomy with sternotomy wires seen well positioned and aligned along the midline with no evidence of hardware failure. The heart is top normal in size. Aorta is normal in appearance. The hilar silhouettes are unremarkable. Pleural surfaces are unremarkable, and there is no pneumothorax. Osseous structures are unremarkable. | 59015742 | INDICATION: ___-year-old female with a history of metastatic renal cell carcinoma. COMPARISON: CT torso ___. TECHNIQUE: PA and lateral chest radiograph. | Fibrotic changes seen in the lung bases, consistent with findings from previous CT. No evidence of infection or malignancy. |
13732201 | There is a subtle area of opacification silhoutteing a portion of the left hemidiaphragm with no other areas of opacification. There are no pleural effusions or pneumothorax. Previous severe cardiac enlargement from ___ is improved, now with only mild cardiomegaly remaining. Previous pulmonary vascular engorgement is now resolved. | 51661701 | INDICATION: ___-year-old female with HIV, diarrhea and weight loss. Evaluate for adenopathy or infiltrate. EXAMINATION: PA and lateral chest radiographs. COMPARISONS: ___, ___, and ___. | New subtle left lower lobe opacity which may reflect atelectasis or early/developing pneumonia. Findings were logged into the critical results dashboard at 3:00PM on ___. |
13732201 | PA and lateral views of the chest. The heart size is slightly bigger than prior study, and there is increased pulmonary vascular engorgement. No overt pulmonary edema. No focal consolidation, pleural effusion, or pneumothorax. | 52229519 | INDICATION: Cough and shortness of breath. COMPARISON: Chest radiograph on ___. | New pulmonary vascular congestion. |
13732201 | AP and lateral views of the chest. Ground-glass opacities at the lung bases seen on CT are most conspicuous on this exam, and when compared to ___ are not significantly changed. Moderate cardiomegaly is again noted as well as atherosclerotic calcifications at the aortic arch. No acute osseous abnormalities identified. | 56304909 | CHEST, TWO VIEWS; ___ HISTORY: ___-year-old female with HIV and cough. COMPARISON: CT abdomen performed ___ and chest x-ray from ___. | Bilateral hazy opacities predominantly at the lung bases suggesting mild interstitial edema or atypical infection. No confluent consolidation or effusion. |
13218600 | There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified. There is dextroconvex scoliosis of the upper thoracic spine. | 53855775 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old female presenting for evaluation of left shoulder and back pain that has been present intermittently since ___. Negative D-dimer. TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute intrathoracic process. |
13224533 | PA and lateral views of the chest were provided. The lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 54303582 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Afebrile and short of breath, question acute intrathoracic process. | No acute findings in the chest. |
13224533 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. There is mild S-shaped curvature to the thoracic spine. There has been no significant change. | 58843674 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
13224533 | Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. | 56010676 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: Fever. COMPARISON: None. | No acute cardiopulmonary process. |
13188644 | Single supine portable view of the chest. Low lung volumes are noted with secondary crowding of the bronchovascular markings. Within this limitation and due to limitation of overlying trauma board, the lungs are grossly clear. The cardiomediastinal silhouette is within normal limits allowing for this limitation. No displaced fracture is identified. | 56363631 | PORTABLE CHEST, ___. HISTORY: ___-year-old male with 15-foot fall. COMPARISON: None. | Unremarkable supine portable plain film. |
13915609 | Heart is normal size and cardiomediastinal contours are within normal limits. Lungs are symmetrically expanded and clear. There is no pleural effusion or pneumothorax. No pulmonary edema. | 54406802 | INDICATION: ___M with AMS // acute process? TECHNIQUE: Portable AP upright view of the chest COMPARISON: None | No acute intrathoracic process. |
13915609 | The patient is somewhat rotated on today's study. Lung volumes are unchanged. The cardiomediastinal contour is within normal limits. The previously demonstrated patchy retrocardiac opacities are not as clearly seen today. No consolidation, pneumothorax in. Degenerative changes are noted in the thoracic spine. | 57346423 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with AMS and low grade fevers. // PNA? Other acute changes? TECHNIQUE: Portable AP chest radiograph COMPARISON: Chest radiograph ___ | No acute cardiopulmonary process seen. No significant interval change when compared to the prior study. |
13915609 | Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Patchy opacity within the retrocardiac region may reflect atelectasis but infection or aspiration cannot be excluded. There is a probable trace left pleural effusion. Right lung is clear. No pneumothorax is present. No acute osseous abnormalities seen. | 55498681 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with altered mental status TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___ | Patchy retrocardiac opacity could reflect atelectasis but infection or aspiration is not excluded in the correct clinical setting. Probable trace left pleural effusion. |
13915609 | The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Apart from subsegmental atelectasis in the left lung base, the lungs are clear. No pleural effusion or pneumothorax is present. Multilevel moderate degenerative changes are noted in the thoracic spine. | 59646030 | EXAMINATION: CHEST (AP AND LATERAL) INDICATION: History: ___M with syncope TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: None. | No acute cardiopulmonary abnormality. |
13387139 | The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces appear normal. There is no pneumothorax or pleural effusion. The visualized bony structures are unremarkable. | 54530595 | INDICATION: Chest pain. Evaluate for pneumothorax or infection. COMPARISON: None. TECHNIQUE: Upright PA and lateral radiographs of the chest. | No acute cardiopulmonary abnormality. |
13364025 | Cardiomediastinal contours are stable with severe cardiomegaly. Pacer lead is in standard position. Mitral ring in place. Mild pulmonary edema is unchanged. . There is no pneumothorax or pleural effusion. Sternal wires are intact. There are mild degenerative changes in the thoracic spine | 58350405 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with cardiac sarcoid initiating amiodarone therapy. // pre-amiodarone CXR TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Stable mild pulmonary edema and severe cardiomegaly |
13364025 | The patient is status post CABG and mitral valve replacement with intact sternotomy wires. The right internal jugular catheter is unchanged in positioning. There has been interval enlargement of the moderate to large left pleural effusion compared to the prior radiograph. There is worsening pulmonary vascular congestion with moderate pulmonary edema. The cardiomediastinal silhouette is stable in size and appearance. No pneumothorax is seen. | 50246052 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with cabg // s/p ct d/c, r/o ptx TECHNIQUE: Single AP radiograph of the chest. COMPARISON: Chest radiograph with the same date. | Right IJ catheter unchanged in positioning. Interval enlargement of the left pleural effusion. Increasing vascular congestion and pulmonary edema. |
13364025 | Interval removal of the right IJ central line. Unchanged positioning of the mitral valve replacement. Moderate pulmonary edema and moderate cardiomegaly are unchanged. Left basilar opacification is likely due to atelectasis and associated effusion, unchanged. No pneumothorax. | 58271506 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___ year old man s/p MVR/MAZE/___. Postoperative baseline. TECHNIQUE: Chest AP and lateral COMPARISON: Chest radiographs ___ and ___. | Unchanged moderate pulmonary edema and moderate cardiomegaly. No pneumothorax. |
13072503 | PA and lateral chest views have been obtained with patient in upright position. There is mild cardiac enlargement. The presence of multiple surgical metallic clips mostly in the anterior mediastinal structures is indicative of previous bypass surgery and probably mammary artery anastomosis. The absence of sternotomy wire in this junction is remarkable and indicates the possibility of postoperative problems with sternotomy healing. Thoracic aorta is unremarkable and no evidence of local contour abnormalities is present. The pulmonary vasculature is not congested. No evidence for acute pneumonic infiltrates anywhere in the lungs. On the other hand, there is evidence of pleural thickenings, mostly on the right lung base and along the right lateral chest wall, indicative of old pleural scar formations. Minor scar formations exist also on the left base, but again no evidence of any acute infiltrate in the parenchyma is observed. The lateral and posterior pleural sinuses are free from any fluid accumulation. There is no pneumothorax in the apical area on the frontal view. Skeletal structures demonstrate an accentuated kyphotic curvature in the thoracic spine with moderate degree of degenerative changes in the form of bridging osteophytic reactions, mostly anteriorly to the vertebral bodies. Remarkable is also rather large depth diameter of the thorax. Our records do not include a previous chest examination available for comparison. | 56137358 | TYPE OF EXAMINATION: CHEST, PA AND LATERAL. INDICATION: ___-year-old male patient with productive cough, shortness of breath and chills, evaluate for pneumonia. | Status post bypass surgery, no evidence of acute pulmonary congestion, no signs of acute pulmonary infiltrates. Pleural thickenings on the bases, more on the right than the left. Absence of sternotomy wires is remarkable. Correlate these findings to clinical manifestations and history. If previous chest examinations from other institutions can be identified, a comparison might be of value. |
13965747 | 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. | 54068609 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // Eval for infiltrates COMPARISON: ___ | No acute intrathoracic process. |
13965747 | Lungs are clear without consolidation, effusion, or pneumothorax. Mediastinum, hila and pleural surfaces are unremarkable. Heart size is normal. | 55640483 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with OSA/obesity/tobacco use, with URI characterized by cough/wheezing // please assess cardiopulmonary architecture TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Chest radiographs dated ___. | No acute intrathoracic process. |
13965747 | Single frontal portable chest radiograph demonstrates fully expanded and clear lungs. Pleural surfaces are normal without evidence of pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is unremarkable without free intraperitoneal air. | 59716669 | HISTORY: New atrial fibrillation. Assess for pneumonia. COMPARISON: None. | No evidence of acute cardiopulmonary process. |
13226810 | The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. | 54103046 | INDICATION: Chest pain. Assess for pneumonia. COMPARISON: None. | No acute cardiac or pulmonary findings. |
13442418 | The cardiomediastinal silhouette is normal. There is no pleural effusion pneumothorax. There is no focal lung consolidation. | 54798463 | EXAMINATION: Chest radiograph INDICATION: ___-year-old woman with cough and fever evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No radiographic evidence of pneumonia. |
13905798 | Chest, PA and lateral, radiographs demonstrate post-CABG changes with sternotomy sutures which are midline and intact and multiple surgical clips overlying the mediastinum. Cardiomediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormality identified. | 59200599 | INDICATION: Cough for one month, please evaluate for infectious process. COMPARISON: No prior studies available for comparison. | No acute cardiopulmonary process. |
13312240 | No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is evident on this view. Heart size is stably enlarged. Right internal jugular catheter, pacing hardware, and endotracheal tube appear similarly positioned. There has been interval placement of an esophageal catheter which courses below the diaphragm into the right upper quadrant with tip out of view. Sternal wires appear intact. Mediastinal clips are again noted. Abdominal aortic hardware is partially imaged. | 50398144 | HISTORY: ___-year-old male with COPD status post EVAR. Comparison ___. TECHNIQUE: Frontal radiographs of the chest were obtained portably with the patient in upright position. COMPARISON: | No acute change detected. |
13312240 | Compared to prior examination there has been removal of an upper enteric tube and endotracheal tube. A right internal jugular central venous catheter remains at the level of the mid SVC. A left implanted ICD is unchanged. The cardiac silhouette remains stably enlarged. Mediastinal and hilar contours are unremarkable. Lungs are clear without focal consolidation worrisome for pneumonia. Trace bilateral effusions are noted. No pneumothorax. An aortic stent projects over the mid abdomen. | 51762240 | HISTORY: Status post EVAR with AMS. New cough. TECHNIQUE: AP and lateral chest radiograph 2 views. COMPARISON: ___. | No focal consolidation worrisome for pneumonia. Trace bilateral pleural effusions. |
13312240 | Single AP portable radiograph of the chest. Left-sided AICD with lead in appropriate position. Median sternotomy wires are intact. There is stable moderate cardiomegaly. Small bilateral pleural effusions are unchanged. No new consolidation concerning for pneumonia is identified. There is no pneumothorax. | 52355655 | HISTORY: Patient with shortness of breath, eval new pulmonary process. COMPARISON: ___. | No evidence of pneumonia or other acute pulmonary process. |
13312240 | Portable AP chest radiograph. Single pacer leads in stable position. Left basilar opacity with obscuration of the left hemidiaphragm has worsened since ___. Severe cardiomegaly is unchanged, but there is no interstitial edema. Bilateral pleural effusions are trace. There is no pneumothorax. Pneumoperitoneum is unchanged. | 59102062 | INDICATION: CHF, COPD. Radiographs raise concern for aspiration. COMPARISON: Multiple prior ___ ___. | Worsening left lower lobe pneumonia. |
13312240 | There is a left-sided pacer with the lead in appropriate position. There is stable moderate cardiomegaly. No new consolidations concerning for pneumonia are identified. There are small bilateral pleural effusions. There is no pneumothorax. | 59118519 | INDICATION: History of worsening O2 saturation. Cough. Please evaluate for infiltrate. COMPARISONS: Multiple chest radiographs dated back to at least ___, most recently ___. TECHNIQUE: Single AP portable radiograph of the chest. | No acute consolidation concerning for pneumonia identified. |
13312240 | A left-sided pacemaker/ AICD device is noted with single lead terminating in the right ventricle. The patient is status post median sternotomy and mediastinal clips. Heart remains moderately enlarged. Mediastinal and hilar contours are unchanged with calcification of the thoracic aorta again noted. Worsening opacification within the left lower lobe is concerning for pneumonia or aspiration. Small bilateral pleural effusions persist. There is no pulmonary vascular engorgement. Minimal atelectasis in the right lung base is noted. | 55693498 | HISTORY: Shortness of breath. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Worsening opacity in the left lower lobe concerning for pneumonia or aspiration. Unchanged small bilateral pleural effusions. |
13672788 | The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 54684867 | INDICATION: ___F with cough, transplant patient // Eval PNA TECHNIQUE: PA and lateral views the chest. COMPARISON: ___. ___. | No acute cardiopulmonary process. |
13672788 | The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. A patchy opacity is demonstrated within the right lower lobe which is concerning for pneumonia. Linear opacity in the left lung base likely reflects atelectasis. There is no pleural effusion or pneumothorax. There are no acute osseous abnormalities. Multilevel degenerative changes in the thoracic spine are unchanged. | 56031932 | WET READ: ___ ___ ___ 10:00 PM Patchy opacity in the right lower lobe concerning for pneumonia. ______________________________________________________________________________ FINAL REPORT HISTORY: Status post pancreas and renal transplant with fevers to 101.6. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___. | Patchy opacity in the right lower lobe concerning for pneumonia. |
13672788 | A new interstitial pulmonary abnormality predominantly in the right lung has little basal predominance. Increased prominence of the pulmonary vasculature is suggestive of elevated left atrial pressure, but not generalized volume overload. Right hilar enlargement could be nodal or vascular. An area of linear scarring in the left lower hemithorax is unchanged. The heart size is top normal. | 52198890 | INDICATION: Cough and shortness of breath. TECHNIQUE: Two views of the chest. COMPARISON: Multiple prior examinations, most recent dated ___. | Active interstitial pneumonia, hemorrhage, or drug reaction, more likely than edema, but not certain. Possible right hilar adenopathy. If patient is immunocompromised, pneumocystis should be considered. Dr ___ and I discussed these findings at 8:15AM. |
13672788 | The lungs are well inflated. There are conspicuous interstitial markings and vascular cephalization with bilateral hilar engorgement. Of note, hilar lymphadenopathy documented in recent CT is also contributing to the hilar conspicuity. Moderate cardiomegaly appears slightly worsened than in prior exam although AP projection hinders accurate comparison. There is no pleural effusion or pneumothorax. | 56116168 | INDICATION: ___-year-old female with fever and altered mental status. Evaluate for pneumonia. COMPARISON: CT from ___ and chest radiographs from ___, ___, and multiple prior chest radiographs dating back to ___. TECHNIQUE: Portable upright chest radiograph. | Moderate pulmonary edema in the setting of moderate cardiomegaly. |
13672788 | Frontal and lateral radiographs of the chest. There has been interval substantial improvement in the bibasilar opacities, although they are not entirely cleared. No focal consolidation is seen. The heart, hilar and mediastinal contours are normal. No pleural abnormality is seen. | 58192108 | HISTORY: Status post kidney and pancreas transplant on ___ presenting with fevers. Evaluate for pulmonary edema. COMPARISON: ___. | Substantial interval improvement in bilateral opacities, although not entirely cleared. |
13399590 | PA and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. An area of calcification projecting over the lower thoracic spine likely is a intervertebral body disc at this level. Bony structures are otherwise unremarkable. | 55930313 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain. | No acute findings in the chest. |
13399590 | Patient is status post median sternotomy and CABG.The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. | 54385356 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with chest pain // ?chest pain TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13399590 | No focal consolidation, pleural effusion,or evidence of pneumothorax is seen. The patient is status post median sternotomy and CABG. Surgical clips are again seen overlying the right upper hemithorax. The cardiac and mediastinal silhouettes are unremarkable. Disc calcification is seen at at least one level along the spine. | 58707676 | HISTORY: Chest pain radiating to the left. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13988727 | Lung volumes are low. This accentuates the size of the cardiac silhouette which is mildly enlarged. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged though there is crowding of the bronchovascular structures. Small to moderate right pleural effusion is demonstrated with streaky bibasilar airspace opacities, likely atelectasis though superimposed on the patient's known chronic interstitial lung disease. 2.2 cm focal opacity is seen projecting over the right upper lobe, which was previously noted to be appear as a more vague opacity on the prior exam. No pneumothorax is identified. No acute osseous abnormality is visualized. | 57730452 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with right sided chest pain and right sided back pain beginning 1.5 weeks ago // known pleural effusion and mass in the right upper lobe on outside hospital x-ray 1 week ago TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph and chest CT ___ | 2.2 cm focal opacity projecting within the right upper lobe which may reflect a more confluent area of chronic interstitial lung disease/fibrosis as a vague opacity was demonstrated in this region on the previous chest radiograph. Further assessment with chest CT is suggested. Small to moderate size right pleural effusion with streaky bibasilar atelectasis likely superimposed on the patient's known chronic interstitial lung disease. |
13988727 | Low lung volumes are present. Small left pleural effusion is relatively unchanged compared to the prior study. Left basilar patchy opacity likely reflects atelectasis. Suture material within the left lung apex is unchanged. Mild right basilar atelectasis is redemonstrated. There is crowding of the bronchovascular structures but no pulmonary edema is present. No pneumothorax is identified. There are no acute osseous abnormalities. Subcutaneous gas within the left lateral chest wall soft tissues has decreased in the interval. | 53044089 | INDICATION: Left-sided abdominal pain status post VATS, lung biopsy. COMPARISON: ___ chest radiograph and chest CT ___. TECHNIQUE: PA and lateral views of the chest. | Persistent small left pleural effusion with adjacent left basilar opacity, likely reflective of atelectasis. Low lung volumes. Interval decrease in amount of subcutaneous gas in the left lateral chest wall. |
13988727 | The heart size cannot be assessed accurately because of blunting densities in the left lung base. Significant cardiac enlargement is unlikely. Thoracic aorta of unchanged appearance without local contour abnormalities. The pulmonary vasculature is not congested. There exist some linear densities in the left upper lobe area that appear to be unchanged and most likely represent scar formations. On the left base, a moderate amount of pleural effusion obliterates the entire diaphragmatic contour and blunts the left pleural sinus. This extends into the posterior pleural sinuses as seen on the lateral view. The amount of pleural density appears to be same in comparison with the previous study of ___. | 56245736 | TYPE OF EXAMINATION: CHEST, PA AND LATERAL. INDICATION: ___-year-old female patient with nausea, chest wall pain after recent lung biopsies, assess for patient's effusion. | Slightly improved inspiration, but left-sided linear pulmonary scars and pleural effusion remaining. No new pulmonary or cardiovascular abnormalities identified. |
13966009 | The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. | 52680858 | INDICATION: ___-year-old man with cough and fever, evaluate for pneumonia. COMPARISON: Comparison is made to chest radiograph from ___. TECHNIQUE Frontal and lateral view of the chest. | No evidence of pneumonia. |
13966009 | The background density of the lung parenchyma is increased compared to prior particularly in the left hilar and suprahilar region. This corresponds with bronchiolar nodularity evident on the concurrent chest CT, raising the concern for a viral or atypical infection such as ___. There is no confluent consolidation or pneumothorax. There is no vascular congestion or pleural effusions. Cardiomediastinal and hilar contours are within normal limits. | 59999472 | HISTORY: ___-year-old male with cough and rib pain. COMPARISON: Concurrent CTA of the chest from ___, prior CT chest from ___ and prior chest radiograph from ___. PA AND LATERAL CHEST | Left hilar and suprahilar density better characterized on concurrent chest CT, concerning for a viral or atypical infection (___). |
13966009 | No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Mild anterior wedging of a lower thoracic vertebral body is grossly stable since the prior study. | 50212471 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with dyspnea/cough // ?PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No significant interval change. |
13553353 | Single frontal view of the chest was obtained. A left-sided Port-A-Cath is seen terminating in the proximal-to-mid SVC. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No pulmonary edema is seen. | 57399374 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: hemoptysis COMPARISON: ___. | No significant interval change. No acute cardiopulmonary process. |
13177245 | Mild enlargement of the cardiac silhouette persists. The mediastinal and hilar contours are similar. Pulmonary vasculature is normal. Lungs remain hyperinflated with emphysematous changes re- demonstrated. Patchy ill-defined opacities are seen in both lung bases, more so on the left, are concerning for infection. No pleural effusion or pneumothorax is present. There are mild degenerative changes noted in the thoracic spine. | 54333483 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain, dyspnea TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ and CTA chest ___ | Patchy bibasilar airspace opacities, more pronounced on the left, concerning for multifocal pneumonia. |
13177245 | Patchy lingular opacity is seen which could be due to atelectasis versus infectious process in the appropriate clinical setting. Perihilar peribronchial thickening is noted. The right lung is clear. The lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable. | 51078419 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with fever, SOB // Eval for infiltrate TECHNIQUE: Single frontal view of the chest COMPARISON: None | Patchy lingular opacity, atelectasis versus infection. Left perihilar peribronchial wall thickening. |
13180956 | Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. | 59913475 | EXAMINATION: Chest radiograph INDICATION: Fever and cough. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13573921 | There is progression of the dense opacity at the right upper lung medially which is worrisome for right upper lobe collapse with possible underlying atelectasis and/or consolidation. Numerous pulmonary nodules in the lungs bilaterally are faintly visualized. There is no new consolidation. Cardiac silhouette is within normal limits. No acute osseous abnormalities. | 55795514 | INDICATION: ___F with fever // pna TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CT from ___. | Complete right upper lobe collapse with possible underlying postobstructive consolidation. |
13985881 | The heart is top-normal in size, but stable from the prior exam in ___. There is a small right pleural effusion which is increased from the prior examination. A small left pleural effusion is not significantly changed. Lung volumes are somewhat low, however there is no focal consolidation. There is mild pulmonary vascular engorgement . | 50698039 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with recurrent pleural effusion s/p multiple taps likely due to constrictive pericarditis. // Pleural effusion reaccumulation TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior radiographs most recent on ___ | Minimally enlarged right pleural effusion and stable left pleural effusion. Mild pulmonary vascular engorgement. |
13985881 | PA and lateral views of the chest provided. Compared to prior study from 5 days ago, there is significant decrease in the left pleural effusion. There is a small right pleural effusion. There is no pulmonary edema. Heart is mildly enlarged. Left-sided chest tube is in unchanged position. | 53727778 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with pleural effusion COMPARISON: Chest radiograph from ___. | Significant improvement in left pleural effusion. |
13985881 | The right internal jugular venous catheter tip ends in the low SVC, unchanged. A chest tube projects over in the right lower hemithorax, also unchanged. Another chest tube projecting over the right mediastinum is also unchanged. The left mediastinal drain since been removed. The patient is now extubated. No pneumothorax. Lung volumes remain low. Small left pleural effusion and atelectasis are minimally changed, and have not progressed. Slight interval increase in mild edema, may be within normal limits post-extubation. Mild cardiomegaly in is overall unchanged. The mediastinum is unchanged. Median sternotomy wires are also unchanged. | 54614944 | EXAMINATION: Portable AP chest radiograph INDICATION: ___ year old man s/p pericardectomy // eval for hemothorax COMPARISON: Chest radiograph dated ___. | Slight interval improvement in small left pleural effusion that has not progressed in size. Minimal interval increase in mild edema. |
13985881 | There is a moderate right and a small left pleural effusion with adjacent atelectasis. The cardiomediastinal silhouette and hilar contours are unchanged, with mild cardiomegaly. There is mild pulmonary edema. No pneumothorax is seen. | 52227766 | INDICATION: ___M with h/o chf with worsening epigastric pain and ab tenderness, evaluate for acute process. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray from ___ | Moderate right and small left pleural effusions with atelectasis at the bases. Mild pulmonary edema and cardiomegaly. |
13985881 | There is recurrence of moderate to large left pleural effusion. Left lower lobe is likely collapsed. There is pulmonary vascular congestion and trace pulmonary edema, reflected in ___ B-lines at the right lung base and b ronchial cuffing, worse compared to ___. Left heart border is obscured by the pleural effusion. Right heart border and mediastinal silhouettes are unchanged. | 50222511 | INDICATION: ___ year old man with pleural effusion // eval EXAMINATION: CHEST (PA AND LAT) TECHNIQUE: Chest radiograph, PA and lateral views COMPARISON: Chest radiograph ___ | Recurrence of moderate to large left pleural effusion. Left lower lobe collapse is likely. New mild pulmonary edema. |
13375144 | Endotracheal tube terminates 3.8 cm above the carina. An enteric tube is coiled within the stomach, directed retrograde. Lungs are clear . No pleural efffusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Heart is normal size. Mediastinal and hilar contours are unremarkable. | 52321892 | INDICATION: Subdural hematoma now intubated. Evaluate for endotracheal tube placement. TECHNIQUE: Frontal chest radiograph. COMPARISON: None. | Endotracheal tube 3.8 cm above the carina. |
Subsets and Splits
No saved queries yet
Save your SQL queries to embed, download, and access them later. Queries will appear here once saved.