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13504745 | PA and lateral chest radiograph demonstrates clear lungs. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pulmonary edema, pleural effusion, or pneumothorax. Imaged upper abdomen is unremarkable. | 58839537 | INDICATION: History: ___M with seizure // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: None available | No evidence of pneumonia. |
13642689 | There is moderately severe pulmonary edema. In comparison to the prior study performed 1 hour earlier, there is increasing opacification of the left hemithorax which may be due to a combination of layering pleural effusion and pulmonary edema. A moderate/large left pleural effusion also appears to be slightly increased. No pneumothorax. Heart size is moderately enlarged. There has been interval placement of a left subclavian line which terminates in the brachiocephalic vein. Endotracheal tube is again noted to terminate approximately 7.3 cm above the carina. Inferior tip of the enteric tube is not visualized. | 52545833 | WET READ: ___ ___ 8:24 AM 1. Overall picture is consistent with worsening pulmonary edema, with likely an enlarging left pleural effusion. 2. Endotracheal tube remains approximately 7.3 cm above the carina. 3. Left subclavian line terminates at the distal brachiocephalic vein. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with L subclavian CVL // L subclavian CVL placement TECHNIQUE: Portable chest radiograph COMPARISON: Chest radiograph ___ at 21:02, CTA torso ___ | Overall picture is consistent with worsening pulmonary edema, with likely an enlarging left pleural effusion. Endotracheal tube remains approximately 7.3 cm above the carina. Left subclavian line terminates at the distal brachiocephalic vein. |
13642689 | Extreme right lung apex excluded from the film. Allowing for this, no pneumothorax is detected. Pleural fluid is again seen extending along the left lung apex, probably similar in extent, allowing for differences in positioning. The tip of the ET tube is not well delineated, but it probably lies approximately 8.7 cm above the carina, immediately below the level of the clavicular heads. NG type tube present, extending beneath diaphragm, off film. Right IJ central line --___ Swan-Ganz catheter --___ tip again noted in the region of the RV outflow tract --___ correlation requested. Left subclavian PICC line tip over proximal/mid SVC. Surgical ___ noted over the left chest. Subcutaneous emphysema is noted adjacent to the lower left chest wall. A linear density seen near the subcutaneous emphysema at the left chest base is of uncertain etiology or significance. No left-sided chest tube is identified. Extensive vascular plethora, diffuse vascular blurring, and some areas of confluent opacity are again noted in both lungs, similar to the prior study. Cardiac opacity also similar to the prior study. Right costophrenic angle excluded from the film. | 51542677 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with thorocoabdominal aorta repair // r/o ptx COMPARISON: Chest x-ray dated ___ at 17 35 p.m. | Extreme right lung apex excluded from the film. Allowing for this, no pneumothorax is detected. Left apical pleural fluid again noted, similar to prior. Extensive interstitial and some alveolar opacities and retrocardiac opacity is similar to the prior film. This could reflect CHF with pulmonary edema. Possibility of an underlying pneumonic infiltrate would be difficult to exclude. No left-sided chest tube visualized. Clinical correlation is requested. Right IJ line --___ Swan-Ganz catheter. Please see comment above. |
13642689 | As compared to chest radiograph from the same day, left-sided chest tube has been removed. No visible pneumothorax. Moderate pulmonary edema has progressed. Superior mediastinal contours have increased likely worsening vascular congestion. Retrocardiac opacity and left effusion are persistent. | 54646054 | EXAMINATION: Single portable view of the chest INDICATION: ___ year old man s/p ct removal // eval for ptx TECHNIQUE: Single frontal view of the chest COMPARISON: Study performed 1 hour earlier | No pneumothorax. Worsening moderate pulmonary edema and vascular congestion. |
13642689 | Compared with prior radiographs on ___, there is slight improvement in pulmonary edema, with persistent moderate to large loculated left-sided pleural effusion. There is no new focal consolidation or pneumothorax. Cardiomediastinal silhouette is unchanged. ET tube and right IJ catheter stable in position. | 56404103 | EXAMINATION: It a next INDICATION: ___ year old man s/p Thoracoadb anuersym repair // eval for effusion TECHNIQUE: Single frontal view of the chest COMPARISON: Prior radiographs on ___ | Slight improvement in pulmonary edema, with persistent moderate to large loculated left-sided pleural effusion and postoperative widening of the mediastinum. |
13642689 | Compared with prior radiographs performed on the same day on ___ at 07:34, there is increased asymmetric opacification of both lungs, right greater than left, which may could be asymmetric pulmonary edema, and/or concurrent consolidation, or pulmonary hemorrhage. There is no pneumothorax. Severe mediastinal widening is unchanged since earlier in the day, improved since ___. . An ET tube ends 7 cm above the carina, and should be advanced 2-3 cm for more secure positioning. A right-sided Swan-Ganz catheter terminates in the right pulmonary artery. Two left pleural drains are stable in position. Small left pleural effusion is likely. | 59841591 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with new sided SubC air // eval for ptx TECHNIQUE: Single frontal view of the chest COMPARISON: Prior radiographs performed on the same day on ___ at 07:34 | New moderate, asymmetric pulmonary edema and possible concurrent right lung pneumonia and/or pulmonary hemorrhage. ET tube 2-3 cm above standard position. No pneumothorax. Stable severe postoperative cardiomediastinal widening, presumably hematoma. |
13642689 | Compared to ___ at 20:59, the overall appearance is similar. Again seen is a rind of pleural fluid and/or thickening about the left lung, with collapse and/or consolidation at the left lung base. Possibility of slight interval increase in the degree of left-sided pleural fluid cannot be entirely excluded. The degree of opacity within the aerated portion of left lung appears slightly increased. The appearance of the right lung, with diffuse vascular plethora and prominent right hilum, is probably similar, allowing for technical differences. ET tube tip lies approximately 7.2 cm above the carina. NG tube tip overlies the gastric fundus. A left subclavian central line tip overlies the proximal SVC. A right IJ central right IJ Swan-Ganz catheter is similar in configuration, with tip suspected to be in the region of the right ventricular outflow tract. No pneumothorax is detected. | 57391315 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man // eval for left effusion COMPARISON: Chest x-ray from ___ at 08:___ at 20:59. The films from earlier ___ are difficult to compare due to small fields of view. | No definite change compared with ___. The possibility of slight increase in the left pleural effusion as well as increased opacities in the left mid zone cannot be excluded. Appearances in the right and left lung are most suggestive of CHF with interstitial and alveolar edema. The possibility of an underlying infectious infiltrate would be difficult to exclude. |
13642689 | This study was obtained as multiple partial views of the chest, which limits assessment. The ET tube tip approximately 7.6 cm above the carina, along the inferior edge of the clavicular heads on the lordotic view. Left subclavian central line tip overlies the confluence of the innominate vein and SVC. Right IJ Swan-Ganz catheter overlies the region of the RV outlet, similar to the prior film. The NG tube tip is not well visualized. Allowing for this, it probably lies just beyond the EG junction and appears retracted compared with the prior study. Assessment of pleural parenchymal findings is quite limited due to the technique. Allowing for this, again seen is pleural fluid and/or thickening at the left lung apex. The degree of opacification in the left upper and mid zones appears increased. The left costophrenic angle is newly visible, though the retrocardiac opacity persists. Clips are again noted overlying the left chest. Curvilinear lucency along the inferior edge of the right heart base is noted. No definite pneumothorax is detected . The right lung is overall similar to the prior study. | 57786833 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with s/p thoracoabd an. repair // eval pulm edema COMPARISON: Chest x-ray from ___ at 20:59 | Lines and tubes as described. Probable interval retraction of the NG tube--___ tip now lies in the region of the GE junction, probably just beyond it. Limited assessment of the chest due to the absence of a single image that includes the entire chest. Allowing for this, there does appear to be increased opacification of the left upper and mid zones -- question asymmetric localized pulmonary edema, atelectasis, or early consolidation. A repeat frontal view to include the entire chest could help for further assessment. Newly visible lucency at the right heart base and in the left costophrenic angle. No definite pneumothorax, but attention to these areas on followup films is requested. |
13642689 | An ET tube projects approximately 5.8 cm above the carina. Left subclavian central line projects over the proximal/ mid SVC. A right IJ Swan-Ganz/PA catheter tip overlies the cardiac silhouette, possibly related to the RV outflow tract. An NG type tube is present, tip extending beneath diaphragm, off film. There are surgical clips overlying much of the left chest, with subcutaneous emphysema noted adjacent to the left chest wall. Portions of the diaphragms are excluded from the film and positioning is lordotic. Allowing for this, the cardiac silhouette is enlarged. Upper zone redistribution, a vascular plethora and blurring, and scattered airspace opacities are present. The differential diagnosis includes pulmonary vascular congestion and CHF, with an element of pulmonary edema. Multifocal infection or pulmonary hemorrhage could also give rise to this appearance. In addition, there is retrocardiac opacity, consistent with left lower lobe collapse and/or consolidation.The presence of pleural fluid at the base of the left lung would be difficult to exclude. Pleural fluid and/or thickening is seen at the left lung apex. No obvious pneumothorax is identified. Truncated appearance to the anterior lateral portion of the left first rib could represent a site of surgery. Incidental note is made of increased densities adjacent to the right coracoid process likely loose bodies related to the glenohumeral joint. | 51820763 | WET READ: ___ ___ ___ 8:58 AM An ET tube projects approximately 5.8 cm above the carina. Left subclavian central line projects over the mid SVC. A Swan-Ganz/PA catheter is seen in grossly appropriate location via the right IJ. The cardiac silhouette is enlarged. Bilateral hazy airspace opacities are consistent with pulmonary vascular congestion and severe pulmonary edema. Multifocal infection or pulmonary hemorrhage could also give this appearance. No pneumothorax. Difficult to exclude trace bilateral pleural effusions. WET READ VERSION #1 ___ ___ ___ 1:20 AM An ET tube projects approximately 5.8 cm above the carina. Left subclavian central line projects over the mid SVC. A Swan-Ganz/PA catheter is seen in grossly appropriate location via the right IJ. The cardiac silhouette is enlarged. Bilateral hazy airspace opacities are consistent with pulmonary vascular congestion and severe pulmonary edema. Multifocal infection or pulmonary hemorrhage could also give this appearance. No pneumothorax. Difficult to exclude trace bilateral pleural effusions. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p readmission for sepsis // eval PA line COMPARISON: None. | Upper zone redistribution, vascular plethora and blurring, and patchy bilateral airspace opacities, consistent with CHF and pulmonary edema. In the appropriate clinical setting, the differential diagnosis could include infection or hemorrhage. Evidence of prior surgery on the left, with pleural fluid and/or thickening at the left lung apex, similar to the prior study. Retrocardiac density again seen, consistent with left lower lobe collapse and/or consolidation and likely an element of left pleural fluid. Lines and tubes as described. |
13642689 | There is increased opacity projecting over the left hemi thorax compatible with pleural effusion, with fluid seen abutting the lung apex. There is superimposed mild pulmonary edema. Enlargement of the cardiac silhouette and upper mediastinum is similar compared to prior. Right chest wall surgical ___ are noted. | 58134230 | INDICATION: ___M with SOB // ?pneumonia TECHNIQUE: 2 portable views of the chest. COMPARISON: ___. | Large left pleural effusion with mild pulmonary vascular congestion. |
13575504 | PA and lateral views of the chest are obtained. The lungs are mildly hyperinflated and there is a lower position of the bilateral hemidiaphragms, which can be seen in the setting of emphysema. There is no focal consolidation, pulmonary edema or pleural effusion. Moderate degenerative changes are noted in the thoracic spine and there may be some anterior wedge deformity of a mid thoracic vertebral body. The cardiomediastinal silhouette is unremarkable. | 57286925 | INDICATION: ___-year-old man with known right lower lobe infiltrate, not better after three days of antibiotics. Evaluation for right lower lobe infiltrate. COMPARISON: Comparison is made to radiograph of the chest from ___. The previous x-ray demonstrating alleged right lower lobe infiltrate is not available for comparison. | No acute cardiopulmonary disease. No evidence of pneumonia. Mild hyperinflation of the lungs with relative flattening of the hemidiaphragms suggestive of emphysema. |
13312184 | 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. | 56509504 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F s/p treatment for ADEM p/w new-onset neuro deficits // ?infection COMPARISON: ___ | No acute intrathoracic process. |
13016582 | There is continued elevation of the right hemidiaphragm with adjacent right basilar atelectasis. Atelectasis is also noted in the left lung base. Cardiac silhouette size is within normal limits. Mediastinal and hilar contours are unremarkable. No pulmonary edema, focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. | 56440129 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___M with cirrhosis and shortness of breath. TECHNIQUE: Semi-upright AP and lateral views of the chest COMPARISON: ___ chest radiograph | No interval change from the previous examination. Continued bibasilar atelectasis with elevation of the right hemidiaphragm. |
13716770 | There are low lung volumes. Opacity seen in the lateral right lung base, likely reflecting a pleural effusion the site of the previous collection. Opacity seen in the medial right lung base is consistent with right lower lobe collapse. Fluid seen traversing the right lung likely reflects fluid in the oblique fissure. There is no pneumothorax. The cardiomediastinal silhouette is unremarkable. | 56187852 | WET READ: ___ ___ 9:43 AM 1. Pleural effusion in the site of the previous collection in the lateral right lung base and the oblique measure. 2. Opacity in the medial right lung base consistent with right lower lobe collapse. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiographs INDICATION: History: ___M with h/o hydrothorax d/t liver failure // ? acute cardiouplm process TECHNIQUE: Upright AP and lateral images of the chest. COMPARISON: Comparison are chest radiographs from ___ and ___. | Pleural effusion in the site of the previous collection in the lateral right lung base and the oblique fissure. Opacity in the medial right lung base consistent with right lower lobe collapse. |
13716770 | There is no change in the large right pneumothorax. No large mediastinal shift to suggest tension. Pleural catheter is unchanged in location. Heart size is normal in the left lung is clear. No pleural effusions. | 59182209 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with cirrhosis, hydrothorax, s/p chest tube placement ___. // interval change? TECHNIQUE: Portable upright chest radiograph COMPARISON: Multiple priors | No change in large right pneumothorax with no evidence of tension. |
13716770 | The heart is normal in size. The mediastinal and hilar contours are unremarkable. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable. | 57134341 | CHEST RADIOGRAPHS HISTORY: Productive cough and subjective fever and chills; history of cirrhosis. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13716770 | There is interval placement of a pleural catheter in the right lower chest. Subcutaneous air in the right lateral chest wall is in keeping with the recent procedure. Previous moderate right pleural effusion has substantially decreased in size; however right pneumothorax appears slightly larger. Right basilar opacities are most consistent with residua atelectasis. The left lung is clear. Cardiomediastinal silhouette is stable. | 51840704 | INDICATION: ___ year old man with right hyrdopneumothorax s/p chest tube placement // ? improvement TECHNIQUE: Portable AP upright view of the chest COMPARISON: ___ | Interval placement of a right-sided pleural drain with substantial decrease in right pleural effusion. Large right hydropneumothorax is primarily gas-filled and has slightly increased in size. |
13716770 | Lung volumes have increased. In comparison to the prior study right pneumothorax is moderately increased in size. There is no appreciable pleural effusion. Right pleural catheter is in place. Cardiomediastinal silhouette is stable. Left lung is clear. | 57020312 | INDICATION: ___ year old man with hep C cirrhosis, now with PTX // evaluate trapped lung TECHNIQUE: Portable AP upright view of the chest COMPARISON: ___ at 07:52 | Right pneumothorax has moderately increased in size. |
13716770 | The right pleural catheter is been removed and there is a moderate amount of air in the subcutaneous tissues of the right chest wall and right neck. There is a small right pneumothorax, slightly smaller than the prior study. No significant right pleural effusion. Left lung is clear. | 53917131 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with hep C cirrhosis c/b hydrothorax s/p drainage, ptx, now with trapped lung. // interval change? TECHNIQUE: Portable upright chest radiograph COMPARISON: ___ | Interval removal of right pleural catheter with small right pneumothorax and moderate amount of air in the right chest wall. |
13716770 | Minimal opacity in the right infrahilar region could be due to atelectasis from suboptimal inspiratory effort or may represent infection. Otherwise, the lungs are clear. The heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural abnormality. | 51589393 | CHEST RADIOGRAPH INDICATION: To rule out pneumonia. TECHNIQUE: Single portable upright chest view was reviewed in comparison with prior chest radiograph from ___. Because of the poor inspiratory effort, evaluation was somewhat limited. | Mild right infrahilar opacity may be atelectasis due to suboptimal inspiratory effort or may represent infection. I recommend to repeat chest radiograph with good inspiratory effort to further resolve this finding. |
13716770 | A moderate to large right pleural effusion is present. Compressive right basilar atelectasis is also demonstrated. Heart size is difficult to assess given the presence of this effusion. Mediastinal and hilar contours are unremarkable. Left lung is clear. No left-sided pleural effusion is present. No pneumothorax or pulmonary vascular congestion is seen. The osseous structures are unremarkable. | 59313024 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cirrhosis with abdominal pain TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Moderate to large right pleural effusion with right basilar atelectasis. |
13343787 | The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. Lung volumes are mildly low. There is no pleural effusion or pneumothorax. Small anterior osteophytes are noted along the anterior aspect of the lower thoracic to mid thoracic spine. Prior healed right posterior sixth, seventh and eighth rib fractures are noted. | 59135583 | CHEST RADIOGRAPH HISTORY: Worsening pedal edema. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13603593 | Compared with prior radiographs on ___, there is no significant change in a large left layering pleural effusion. A left pleural drain is stable in position. The right lung is clear. There is no new focal consolidation or pneumothorax. A left apical mass is better evaluated on chest CTA ___. Cardiomediastinal silhouette is unchanged | 54484462 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with left lung mass with associated left pleural effusion s/p chest tube placement. // evaluate interval lung expansion and effusion improvement TECHNIQUE: Single frontal view of the chest COMPARISON: Prior radiographs on ___, CTA chest on ___ | No significant change in large left layering pleural effusion. |
13603593 | Compared with prior radiographs on ___, and has been interval decrease in size of a left-sided pleural effusion. Left pleural drain is stable in position. Right lung is clear without consolidation, effusion or pneumothorax. A left apical mass is better assessed on CTA on ___. The cardiomediastinal silhouette is unchanged. | 58991110 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with lung mass and left pleural effusion s/p chest tube // evaluate for interval change in effusion and lung reexpansion TECHNIQUE: Single frontal view of the chest COMPARISON: Prior radiographs on ___ | Interval decrease in left-sided pleural effusion. |
13603593 | Opacification of the mid and lower left lung is grossly unchanged from the prior study and better characterized by same day chest CT. Opacity likely represents a combination of lymphangitic carcinomatosis and a small pleural effusion. Superimposed infectious process in the left lung base is possible in the proper clinical setting. The right lung is clear. There is no pneumothorax. The osseous structures are notable for cervical spinal fusion hardware. The upper abdomen is unremarkable. | 58217693 | WET READ: ___ ___ ___ 4:33 AM Short interval stability of mid and lower left lung opacification related to lymphangitic carcinomatosis and a small pleural effusion. Superimposed infectious process is possible in the proper clinical setting. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with dyspnea, evaluate for pneumonia. TECHNIQUE: Single portable AP view radiograph of the chest. COMPARISON: Multiple prior chest radiographs dating back to ___. | Short interval stability of mid and lower left lung opacification related to lymphangitic carcinomatosis and a small pleural effusion. Superimposed infectious process is possible in the proper clinical setting. |
13603593 | PA and lateral views of the chest provided. Port-A-Cath is situated over the left chest wall with catheter extending to the level of the upper SVC by way of the left IJ vein. There is persistent mediastinal prominence likely in part reflecting left paramediastinal fibrosis. Persistent left basal opacity likely reflects persistent atelectasis and small left pleural effusion. Right lung remains clear. The heart size is grossly unchanged. No acute fracture. | 54408394 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fever, cough COMPARISON: CT chest from ___. | Similar appearance of left basal opacity likely reflecting a combination of atelectasis and effusion. |
13603593 | Better characterized on same day CTA chest, there is a large left pleural effusion which appears to be layering. The left hemidiaphragm is displaced inferiorly secondary to space occupying pleural effusion. There is probably a small pericardial effusion. A left upper lobe mass is better appreciated on the CT and obscures the aortic knob. The right lung is clear with no focal consolidation. There is no right-sided pleural effusion. There is no pneumothorax. Heart border is obscured. | 53651061 | INDICATION: History: ___M with history of lung cancer not anticogual worseing SOB and chest pain // eval for worsening left pleural effusionCTA-->PE? TECHNIQUE: Chest PA and lateral COMPARISON: CTA chest performed on the same date. | Large left sided pleural effusion which appears to be layering and better characterized on same-day CTA chest. |
13603593 | Opacity in the left mid to lower lung raises concern for pneumonia. There may also be a small left pleural effusion. Left apical opacity is again seen, likely combination of pleural thickening and known apical pulmonary nodule. Cardiac and mediastinal silhouettes are stable. Partially imaged cervical hardware is noted. | 52072210 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with cp, non relived morphine // r/o pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Left lower lobe consolidation, worrisome for pneumonia. Possible small left pleural effusion. |
13603593 | A left chest wall Port-A-Cath ends in the mid SVC unchanged. Since prior, left basilar consolidation has increased. The right lung is clear. Mild cardiomegaly is unchanged. There is no pneumothorax. | 51495723 | EXAMINATION: Chest radiograph INDICATION: ___-year-old man with known lung cancer with increased shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___ and a chest radiograph ___ | Increase left basilar opacity representing consolidation as demonstrated on prior chest CTs. |
13633042 | 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. | 58515749 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: CT chest ___ | No acute cardiopulmonary abnormality. |
13498867 | The cardiac outline is severely enlarged. Calcifications are noted at the aortic arch. The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Blunting of bilateral costophrenic angles is again identified and may be due to pleural scarring. | 56192504 | INDICATION: Evaluation of patient with irregular heart rate. COMPARISON: Chest radiograph from ___. | Severely enlarged cardiomediastinal silhouette. While this enlargement in comparison to prior study may be due to lower lung volumes, a pericardial effusion and myocarditis must be excluded in the proper clinical setting. |
13498867 | The patient is status post right thoracentesis with interval pigtail placement. The previously identified right-sided pleural effusion has resolved and there is no evidence of associated pneumothorax. There is a stable, moderate effusion noted again on the left. Endotracheal tube is noted to be in proper position. A right-sided PICC line is seen terminating within the upper right atrium. There is no focal consolidation or overt pulmonary edema identified. There is stable, mild to moderate cardiomegaly, somewhat exaggerated by the rotated position of the patient | 56680788 | HISTORY: Altered mental status and pleural effusions, now status post right-sided thoracentesis and pigtail placement. TECHNIQUE: Single, AP, portable view of the chest with the patient in a upright position. COMPARISON: Comparison is made radiographs dated ___. | Status post right thoracentesis and interval placement of a right-sided pigtail catheter, with a now resolved right pleural effusion. No evidence of pneumothorax. Stable, moderate left pleural effusion. |
13498867 | AP single view of the chest shows no pnumothorax. Left pleural effusion has minimally increased, now moderate. Right basilar opacity is new, and is suspicious for new focal area of inflammation. Heart size still severely enlarged. All the monitoring and support devices are unchanged. | 58648642 | HISTORY: ___ years old woman status post SBR, now extubated with right pigtail catheter, assess interval change in left pleural effusion and right pneumothorax. COMPARISON: ___ at midnight. | Right apical pneumothorax has resolved. Interval increase of left pleural effusion, now moderate. New right basilar opacity is likely pneumonia. |
13498867 | AP single view of the chest shows complete resolution of apical pneumothorax. The right pigtail is projected medially and superiorly in the right upper lung. Left moderate pleural effusion and left lower lobe atelectasis are unchanged since ___. Heart is still severely enlarged. | 55792342 | PATIENT HISTORY: ___-year-old woman status post SBR, now extubated with right pigtail catheter now to water seal. Please do x-ray at 11:30 p.m. Evaluate for change in right apical pneumothorax. Exam is compared to x-ray ___. | Resolution of right apical pneumothorax. Persistent left basilar moderate pleural effusion and left lower lobe atelectasis, and severe cardiomegaly. Findings were reported by Dr. ___ at 9:22 a.m. to the nursing care. |
13895041 | The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is no focal consolidation, pleural effusion, or pneumothorax. Minimal scarring is seen at the right lung base. | 57959546 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with fevers, cough // r/o infectious process TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute intrathoracic abnormality. |
13895041 | Frontal and lateral chest radiographs demonstrate mildly low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. | 55674759 | INDICATION: Chest pain. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
13895041 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Spinal hardware is partially imaged but not well assessed on this study, and appears new compared to the prior study. | 56065972 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F s/p fall p/w fever // ?acute intrapulmonary process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13260808 | PA and lateral views of the chest provided. Streaky retrocardiac opacity may represent atelectasis versus an early pneumonia in the correct clinical setting. Otherwise the lungs are clear. No large effusion is seen. No pneumothorax. No signs of congestion or edema. The heart appears top-normal in size. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 50788586 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with 2 day CP, cough // eval for consolidation COMPARISON: None | Top normal heart size, retrocardiac streaky opacity, likely atelectasis, difficult to exclude an early pneumonia in the correct clinical setting. |
13358526 | Endotracheal tube is in standard position, terminating approximately 6.4 cm from the carina. An enteric tube is new in the interval, which appears to course to the level of the diaphragm, though the distal aspect is not well assessed. Remainder of the exam is unchanged with continued low lung volumes. Moderate enlargement of cardiac silhouette is again noted. There is unchanged mild pulmonary vascular congestion. Bibasilar patchy opacities likely reflect atelectasis but infection cannot be excluded in the left lung base. Small left pleural effusion is likely present. Dextroscoliosis of the thoracic spine is again noted. | 51109174 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with post intubation TECHNIQUE: Upright AP view of the chest COMPARISON: ___ at 17:56 | Standard position of the endotracheal tube. Enteric tube appears to reach the level of the diaphragm, though the location of these tip is difficult to visualize. Remainder of the exam is unchanged. |
13148985 | The lung volumes are low. The cardiac, mediastinal and hilar contours appear unchanged. There is streaky left mid to lower lung opacification which suggests atelectasis. This appearance blurs the left costophrenic sulcus, making it difficult to exclude a small pleural effusion. There is no evidence for pleural effusion on the right. | 59434358 | CHEST RADIOGRAPH HISTORY: Chest pain. COMPARISONS: ___. TECHNIQUE: Chest, AP upright portable. | Streaky left mid-to-lower lung opacities, which are probably compatible with atelectasis. If pulmonary symptoms are present or there is other clinical concern for pneumonia, then short-term followup PA and lateral radiographs could be considered to evaluate further. |
13294541 | Frontal and lateral views of the chest are compared to previous exam from ___. Lungs are clear of consolidation or effusion. Calcified granuloma again seen in the right mid lung as well as calcified scarring at the right lung apex. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Surgical clip seen in the upper abdomen. | 50657737 | CHEST, TWO VIEWS, ___. HISTORY: ___-year-old male with chest pain. | No acute cardiopulmonary process. |
13294541 | There are low lung volumes. There are bilateral pleural effusions, moderate to large on the right and small on the left, with overlying atelectasis. Patchy lateral right base/mid lung opacity could relate to atelectasis however, a focus of consolidation from infection is not excluded. No pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are grossly stable | 59487843 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with hx pleural effusions p/w weakness // ?cpd TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Bilateral pleural effusions, right greater than left. Patchy lateral right base/mid lung opacity could relate to atelectasis although consolidation due to infection is not excluded in the appropriate clinical setting. |
13294541 | AP upright and lateral views of the chest were provided. The patient's chin overlies the right lung apex, limiting exam. There is stable appearance of biapical scarring and peribronchovascular opacity as compared with prior CT. A small calcified granuloma in the right mid lung is unchanged. No focal consolidation, effusion, or pneumothorax is seen. Bony structures are intact. Overall, heart size and mediastinal contour is unchanged. | 56772230 | CHEST RADIOGRAPH PERFORMED ON ___ Comparison is made with a prior chest radiograph and chest CT, both dated ___. CLINICAL HISTORY: Fever and cough, question pneumonia. | No acute intrathoracic process. Stable upper lung scarring with patient's chin overlying the right lung apex. |
13294541 | Patient's chin partially obscures the right apex. 5-mm calcified granuloma in the right mid lung is unchanged. There is no new focal airspace opacity. The lungs are well expanded. The cardiomediastinal silhouette and hilar contours are unchanged. There is no cardiomegaly. There is no large pleural effusion or pneumothorax. | 51585613 | INDICATION: Hypoxia. Rule out pneumonia. COMPARISON: Chest radiographs ___ and ___. CTA chest ___. TECHNIQUE: Portable semi-upright AP radiograph of the chest. | No evidence of acute cardiopulmonary abnormality. |
13294541 | There are low lung volumes, which accentuate the bronchovascular markings. Given this, ___ subcentimeter calcifications noted in the right mid lung likely represent calcified granulomas and are stable. There is a biapical scarring again seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Surgical clips are noted in the upper abdomen. | 55499732 | HISTORY: Right-sided chest pain. TECHNIQUE: Frontal lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. No significant interval change. |
13294541 | There are low lung volumes. The cardiac, mediastinal and hilar contours are within normal limits. There is crowding of the bronchovascular structures, but no pulmonary edema is seen. Calcified right upper lobe nodule is unchanged. Biapical fibrotic changes are stable. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is seen. | 51551843 | INDICATION: Cough. COMPARISON: ___. UPRIGHT AP AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
13967845 | There is no focal lung consolidation. There is no pneumothorax or pleural effusion. There is no pulmonary edema. Heart is mildly enlarged. No acute osseous abnormality. | 56670963 | EXAMINATION: Chest radiograph. INDICATION: ___-year-old man with chest pain and dyspnea. TECHNIQUE: Chest PA and lateral COMPARISON: None available. | Mild cardiomegaly. Otherwise, unremarkable chest radiograph. |
13551085 | PA and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are unremarkable aside from an unfolded thoracic aorta. Bony structures are intact. No free air below the right hemidiaphragm. | 54197146 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Hypertension, strain on EKG, assess for CHF. | No acute findings in the chest. |
13344069 | The cardiac silhouette size is normal. The aorta is mildly tortuous. The mediastinal and hilar contours are otherwise unremarkable, and the lungs are clear. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 58096858 | HISTORY: Palpitations. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary abnormality. |
13860063 | Patient is rotated to the left. Within this limitation, the lungs are clear. Left chest wall dual lead pacing device is again noted. The cardiomediastinal silhouette is grossly unchanged. Anterior flowing osteophytes along the spine suggests DISH. Degenerative changes are seen at the shoulders bilaterally. | 52955367 | INDICATION: ___F with intermittent slurred speech // evaluation for pneumonia TECHNIQUE: PA and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13860063 | Left chest wall pacemaker and dual-chamber leads are in unchanged position. Heart size is mildly enlarged, stable. There is no evidence of pneumonia, pleural effusion, or pneumothorax. Osseous structures are demineralized but intact. | 58379435 | WET READ: ___ ___ 4:44 PM 1. No acute intracranial process. 2. Mild cardiomegaly. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with weakness // eval for pna TECHNIQUE: Chest AP and lateral COMPARISON: ___ | No acute intracranial process. Mild cardiomegaly. |
13860063 | Frontal and lateral views of the chest were obtained. There are small bilateral pleural effusions with overlying atelectasis. The cardiac silhouette remains enlarged. The aorta is tortuous. Dual-lead left-sided pacemaker is again seen with leads unchanged in position. Evidence of DISH is seen along the spine. | 59131151 | EXAM: Chest, AP upright and lateral views. CLINICAL INFORMATION: Chest pain, worse with inspiration. COMPARISON: ___. | Small left pleural effusion, difficult to exclude trace right pleural effusion. Persistent cardiomegaly. |
13628037 | Right-sided central venous catheter is again seen terminating in the mid to low SVC without evidence of pneumothorax. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette remains top normal. The mediastinal and hilar contours are stable. | 55551928 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Tachycardia, shortness of breath. COMPARISON: ___. | No acute cardiopulmonary process. |
13628037 | Right middle and right lower lobe are now significantly atelectatic. Left lower lobe atelectasis is unchanged since a week. The infectious opacities in the upper lobes have significantly improved. Pleural effusions are small. There is no pneumothorax. Right-sided line ends in lower SVC. | 59132341 | PA AND LATERAL CHEST X-RAY INDICATION: Patient with AML, orthopnea, being treated for fungal pneumonia. Assess for edema. COMPARISON: Chest x-rays ___ ___ and chest CT ___ ___. | New severe right middle and right lower lobe atelectasis. Superimposed aspiration cannot be excluded. Unchanged left lower lobe atelectasis. Improvement of upper lobes pneumonia. |
13628037 | The heart size is normal. Cardiomediastinal silhouette and hilar contours are unchanged. A large bore tunneled right IJ central venous catheter terminates at the low SVC. There is increased heterogeneous consolidation at the left lung base, worrisome for infection. The right lung is essentially clear. There is no large pleural effusion or pneumothorax. | 54872639 | WET READ: ___ ___ ___ 5:29 PM Reticulonodular opacities in the left lung base not seen on ___ may represent focal infection. No pleural effusion, pneumothorax or pulmonary edema. ______________________________________________________________________________ FINAL REPORT HISTORY: AML status post allogenic stem cell transplant complicated by deep neck soft tissue infection and now desaturating. COMPARISON: ___. TECHNIQUE: Portable frontal chest radiograph, two views. | Heterogeneous left lung base consolidation worrisome for infection. A wet read was entered into the system by Dr. ___ on ___ 5:29 PM. |
13628037 | AP single view of the chest has been obtained with patient in sitting upright position. Comparison is made with the next preceding PA and lateral chest examination of ___. The heart size remains normal. No new acute pulmonary parenchymal infiltrates can be identified. Appearance of the previously described right internal jugular approach central venous line is unaltered. No pneumothorax is seen. No pulmonary vascular congestion is present and the lateral pleural sinuses remain free. | 54547774 | TYPE OF EXAMINATION: Chest AP portable single view. INDICATION: ___-year-old male patient with acute myelocytic leukemia, here for allo transplant with neutropenic fever after ATG and TLI. Evaluate for pneumonia. | No evidence of new acute infiltrates. |
13628037 | Right central venous catheter terminates in the low SVC. The heart is top normal. The mediastinal and hilar contours are normal. The lungs are normally expanded and clear. There is likely a small right pleural effusion blunting the posterior costophrenic sulcus. | 58000947 | INDICATION: Fever (possibly neutropenic). Evaluate for pneumonia. COMPARISON: Chest radiographs ___, ___, ___ and ___. CT chest ___. TECHNIQUE: Upright PA and lateral radiographs of the chest. | Likely small right pleural effusion. No evidence of pneumonia. The heart is top normal. |
13628037 | PA and lateral views of the chest were reviewed and compared to the prior studies. A right-sided central catheter line ends in the low superior vena cava. Normal heart, lungs, pleural and mediastinal services. | 58401090 | INDICATION: Pre bone marrow transplant evaluation in a patient with acte myelogenous leukemia. COMPARISON: Multiple chest radiographs, the most recent of ___. | No acute cardiopulmonary process. |
13628037 | Again seen is a right subclavian catheter with tip terminating at the cavoatrial junction. The cardiomediastinal and hilar contours are stable with heart top normal in size. A small pleural effusion is seen on the lateral view, but it is difficult to tell which side is affected (and it may be bilateral). Previously seen left basilar opacity is improved, but mild linear opacities remain. There is no focal consolidation concerning for pneumonia. | 58676628 | INDICATION: Febrile neutropenia being treated for fungal pneumonia, query opacities. COMPARISON: Chest radiograph, ___, ___, chest CT, ___. | Pleural effusions, possibly bilateral, with left basilar atelectasis. Resolution of previous left basilar heterogeneity. |
13628037 | Right-sided dialysis catheter is again seen, with the tip in the region of the cavoatrial junction. The cardiac silhouette appears enlarged, which is accentuated by the portable technique. There is increased retrocardiac opacity seen at the left base, which is likely related in large part to atelectasis. There is no definite pleural effusion or consolidation. No evidence of pneumothorax. Osseous structures appear grossly unremarkable, aside from degenerative changes at the glenohumeral joints. | 56340981 | INDICATION: Atrial fibrillation with RVR. Distant heart sounds. Pulmonary congestion. TECHNIQUE: Single portable AP chest. COMPARISON: ___. | Retrocardiac opacity which may be related to atelectasis. No definite pulmonary edema. |
13628037 | PA and lateral views of the chest provided. A right IJ central venous catheter is seen with its tip in the expected location of the low SVC. Mild interstitial pulmonary edema with hilar congestion is noted. No large effusion. Heart size is top-normal. No pneumothorax. Mediastinal contour normal. Bony structures appear intact. No free air below the right hemidiaphragm. | 56449388 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with fever // eval infiltrate COMPARISON: ___ and ___. | Mild hilar congestion with interstitial edema. |
13024789 | Single AP view of the chest provided. The intra-aortic balloon pump is high and should be pulled back 3.0 cm. A Swan-Ganz catheter is unchanged. Lungs are well inflated and grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal. | 54974771 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with NSTEMI, heart failure with IABP placed. // IABP placement, pulm edema, infiltrates COMPARISON: Chest radiograph ___ | The intra-aortic balloon pump is high and should be pulled back 3.0 cm. The lungs are clear. |
13606515 | The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No rib fractures are identified, although this study is not tailored for assessment of the ribcage and has suboptimal sensitivity for detection of rib fractures. | 55766789 | INDICATION: ___-year-old male with seizure. Evaluate for pneumonia or aspiration. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs. | Unremarkable chest radiographic examination. |
13100003 | Relatively low lung volumes are again noted. The lungs are grossly clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. There is no free intraperitoneal air. | 56965809 | INDICATION: ___F with abd pain, marginal ulcers. // free air? TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. No free intraperitoneal air. |
13100003 | There has been interval removal of the left chest tube. There may be a miniscule pneumothorax. Low lung volumes with bibasilar atelectasis. No focal consolidations. Pulmonary vasculature is normal. Heart is not enlarged. No pleural effusions. | 59649859 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with s/p chest tube pull, r/o pneumothorax // ___ year old woman with s/p chest tube pull, r/o pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Interval removal of the low left chest tube with equivocal miniscule residual pneumothorax. Low lung volumes and bibasilar atelectasis. |
13100003 | PA and lateral views of the chest provided. Lung volumes are low limiting assessment. Left basal consolidation is concerning for atelectasis and/or pneumonia. No large effusion or pneumothorax. Heart mediastinal contour is stable. Bony structures intact. | 54643680 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with sob // acute process COMPARISON: ___ | Left basal opacity concerning for atelectasis and/or pneumonia. |
13598204 | Frontal and lateral views of the chest. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is noted. | 54404543 | HISTORY: ___-year-old female with cough. COMPARISON: ___. | No acute cardiopulmonary process. |
13598204 | 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. | 50034027 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest tightness/wheezing, influenza like illness for 3 days TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13436765 | The lungs are clear and well expanded. There are no airspace consolidations, effusions, or pneumothoraces. The cardiac silhouette is normal. The hilar and mediastinal contours are stable. | 58851029 | CLINICAL HISTORY: ___-year-old woman with cough and chills. Evaluate for pneumonia. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | No acute intrathoracic process. |
13740752 | The lungs are hyperexpanded and clear. The mediastinal contours, hila, and cardiac silhouette are normal. No pleural effusion or pneumothorax. Cervical spinal hardware is present. | 51524287 | INDICATION: ___ year old man with PMHx of arachnoid cyst (s/p numerous brain surgeries) now with underlying vertigo and h/o exercise induced asthma, and GERD (addt'l PMHx in OMR) presents with difficulty breathing x 2 days. // eval TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___, ___. | No acute abnormality to explain the patient's symptoms. |
13740752 | When compared to prior, there has been interval resolution of the right upper lobe and left lower lobe regions of opacity. The lungs are now clear. The cardiomediastinal silhouette is within normal limits. Anterior cervical hardware is visualized. | 59608149 | INDICATION: ___M with RECENT PNA, RECURRENT FALLS, ? LOC // pna, ich TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Interval resolution of previously seen bilateral regions of consolidation. |
13740752 | Right upper to mid lung ill-defined hazy airspace opacity is consistent with pneumonia. The lungs are otherwise clear. The hila and pulmonary vasculature are normal. No pleural effusions or pneumothorax. The cardiomediastinal silhouette is unchanged. | 56104522 | INDICATION: ___ year old man with fever, chills, fatigue, ? infection // ?infiltrates, effusions TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Right upper to mid lung pneumonia. |
13270100 | The cardiomediastinal and hilar contours are normal. The lungs are clear but hyperexpanded suggesting emphysema or small airway disease. There is no pleural effusion or pneumothorax. | 54852754 | HISTORY: ___-year-old male with TIA. STUDY: PA and lateral chest radiograph. COMPARISON: None. | No acute cardiopulmonary process. |
13678296 | The heart size is normal. The hilar and mediastinal contours are within normal limits. Numerous round nodular opacities are scattered throughout both lungs, new or increased in size since the chest radiograph from ___, concerning for neoplastic process. No focal consolidation is seen. Chronic bibasilar bronchiectasis and atelectasis appears unchanged. There is no pneumothorax or pleural effusion. | 51918536 | INDICATION: Question of pneumonia. COMPARISON: Radiograph available from ___ and CT chest from ___. FRONTAL CHEST | Multiple pulmonary nodules, increased in size or new since ___, concerning for neoplastic process. Chronic bibasilar bronchiectasis and atelectasis. No lobar consolidation seen. |
13121043 | Frontal and lateral views of the chest were obtained. 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. | 53228466 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Pleuritic left scapular pain, evaluate for pneumothorax. COMPARISON: None. | No acute cardiopulmonary process. No evidence of pneumothorax. |
13976804 | PA and lateral views of the chest are provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. Please note, the right CP angle is excluded on the frontal projection. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen. | 57628042 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain. | No acute findings in the chest. |
13976804 | A right internal jugular catheter is unchanged with the tip in the mid SVC. Since prior exam, the lung volumes are lower. This is accentuating the bronchovascular structures. There is new mild interstitial edema. Left basilar atelectasis is slightly worse. There is also likely a small left pleural effusion. There is no right pleural effusion. The cardiomediastinal silhouette is slightly larger, in keeping with the worsening fluid overload. Sternal wires are intact. | 51573346 | INDICATION: Status post CABG with dropping hematocrit. COMPARISON: Chest radiograph from ___. Chest radiograph from ___. TECHNIQUE: A single semi-upright AP view of the chest was obtained. | Worsening pulmonary edema. Small left pleural effusion. |
13976804 | AP view of the chest. Right IJ central venous line ends in the lower SVC. Sternal wires and mediastinal clips are stable. Moderate bilateral pleural effusions and adjacent atelectasis are unchanged. Upper lungs are grossly clear. No pneumothorax. Cardiomediastinal and hilar contours are grossly stable. | 52936792 | INDICATION: CABG, evaluate for effusion. COMPARISON: ___. | No change in moderate bilateral pleural effusions and adjacent atelectasis. |
13976804 | Since the prior exam, the endotracheal tube and enteric tube have been removed. Additionally, the left-sided chest tube has been removed. A right internal jugular central venous catheter is in unchanged position with the tip in the mid SVC. Post-surgical changes from a prior CABG are noted in the mediastinum. There is minimal left basilar atelectasis and a possible tiny left pleural effusion. There is no focal airspace consolidation. There is no right pleural effusion. No pneumothorax is identified. The mediastinal contours are unchanged, and consistent with a normal post-operative appearance. The heart size is mildly enlarged, and unchanged. | 50941935 | INDICATION: Status post chest tube removal. Evaluate for pneumothorax. COMPARISONS: Chest radiograph from ___. TECHNIQUE: A single semi-upright AP view of the chest was obtained. | Status post left chest tube removal. No evidence of pneumothorax. |
13178070 | The heart size is normal. No focal opacity suggestive of metastatic disease is seen. There is no pleural effusions or pneumothorax. The hilar and mediastinal contours are unremarkable. The visualized osseous structures are unremarkable. | 57423214 | INDICATION: ___-year-old male with a history of pancreatic cancer who presents for evaluation of metastatic disease. COMPARISONS: Chest radiographs from ___, ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest. | No focal opacities identified to suggest pulmonary metastasis. |
13524085 | There is minimal atelectasis at the left lung base. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits. | 53624266 | INDICATION: ___ year old woman with ESRD ___ lupus, here with fever // eval for pneumonia TECHNIQUE: AP portable chest radiograph COMPARISON: None available | No radiographic evidence of acute cardiopulmonary disease. |
13524085 | 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. | 59516464 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with lupus nephritis presenting with fluid retention and dyspnea // evaluate for pulmonary edema TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13120246 | The heart is moderately enlarged. The hila are prominent bilaterally, likely due to pulmonary arterial enlargement as demonstrated on prior CT. No focal consolidation, effusion or pneumothorax is seen. The lungs are mildly hyperinflated consistent with COPD. | 56984900 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with pulmonary hypertension // pre VQ TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs on ___ and CT chest on ___ | Hyperinflated lungs consistent with COPD. No focal consolidation, effusion or pneumothorax. |
13120246 | Moderate cardiomegaly is re- demonstrated. The aortic knob is calcified. The hila are enlarged bilaterally compatible with history of pulmonary arterial hypertension. There is mild pulmonary edema, new in the interval, with small bilateral pleural effusions. Bibasilar patchy opacities likely reflect atelectasis. No pneumothorax is detected. There are no acute osseous abnormalities. | 53601144 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F history of pulmonary hypertension, CHF presents with dyspnea TECHNIQUE: Chest PA and lateral COMPARISON: CT chest ___, chest radiograph ___ | Mild pulmonary edema and small bilateral pleural effusions with bibasilar atelectasis. |
13120246 | The lungs are hyperexpanded. Patchy retrocardiac opacity is worse compared to prior. There is no pneumothorax. There may be a trace left effusion. The cardiomediastinal silhouette is enlarged, similar to prior. There is mild pulmonary vascular congestion, worse than before. No free air below the right hemidiaphragm is seen. | 54415809 | WET READ: ___ ___ ___ 7:26 PM 1. Patchy retrocardiac opacity may represent pneumonia. 2. Discordance of severe cardiomegaly with mild vascular congestion raises the question of possible cardiomyopathy. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with SOB and cough // CHF v. pneumonia v. pleural effusion COMPARISON: ___ | Patchy retrocardiac opacity may represent pneumonia. Discordance of severe cardiomegaly with mild vascular congestion raises the question of possible cardiomyopathy. |
13383131 | No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Note is made of an azygos lobe. Heart and mediastinal contours are within normal limits. | 52340825 | HISTORY: ___-year-old male with end-stage renal disease, pre renal transplant. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None available. | No radiographic evidence for acute cardiopulmonary process. |
13383131 | There is a subtle focal opacity seen only on the frontal view, relatively rectangular in shape, projecting over the anterolateral left sixth rib, which may be due to prior rib injury or may be external to the patient. Correlate with history. Shallow oblique radiographs would help further assess. Otherwise, no focal consolidation is seen. An azygos lobe is incidentally noted. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 59141849 | WET READ: ___ ___ 3:26 PM Subtle focal opacity, relatively rectangular in shape, projecting over the anterolateral left sixth rib, which may be due to prior rib injury or may be external to the patient. Correlate with history. Shallow oblique radiographs would help further assess. No focal consolidation to suggest pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with kidney-pancreas transplant p/w fever // Evaluation of PNA or any lung prcoess TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Subtle focal opacity, relatively rectangular in shape, projecting over the anterolateral left sixth rib, which may be due to prior rib injury or may be external to the patient. Correlate with history. Shallow oblique radiographs would help further assess. |
13219010 | Single frontal portable view of the chest was obtained. The lung apices are excluded on this study and overlying trauma board prevents detailed evaluation of the chest. The heart size and bronchovascular markings are exaggerated by low lung volumes. No focal consolidation is present. No pleural effusion or pneumothorax. The endotracheal tube terminates 7 mm from the carina. NG tube terminates with side port in the stomach and its tip to the right of the midline. | 52371853 | WET READ: ___ ___ 9:35 AM ETT terminates 7 mm above the carina. NGT in appropriate position. Low lung volumes. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: ___-year-old male with altered mental status and seizure. Evaluate tube placement. COMPARISONS: None. | Endotracheal tube terminates 7 mm from the carina. NG tube is in appropriate position. Low lung volumes. |
13374041 | PA and lateral views of the chest were obtained. The previously seen right apical nodular scarring is again demonstrated on this study and is associated with some upward retraction of the right hilus. The cardiomediastinal silhouette is unremarkable. There is no focal area of pneumonia, pleural effusion or pulmonary edema. There is mild scoliosis of the thoracic spine and surgical clips are again seen at the gastroesophageal junction, unchanged in position since the prior study. | 55995595 | INDICATION: ___-year-old with history of sarcoid and cough. COMPARISON: Comparison is made to radiograph of the chest from ___. | No acute cardiopulmonary disease. |
13095294 | The previously described opacity in the right upper lobe is no longer visualized and may have been external to the patient. Lungs are clear except for localized bulla or blebs in the right lung apex with adjacent linear scarring, not appreciably changed since ___. Heart size, mediastinal and hilar contours are normal. No pleural effusion. Scoliosis is noted. | 51659735 | PA AND LATERAL CHEST, ___ COMPARISON: Chest x-ray ___. | Resolution of right upper lobe opacity, which may have represented a structure external to the patient on the prior radiograph. |
13095294 | The lungs are well expanded and show a new right upper lobe opacity. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. No pleural effusion or pneumothorax is present. | 52792367 | INDICATION: Past positive PPD. Followup chest x-ray. COMPARISON: Chest radiograph from ___. TWO VIEWS OF THE | Possible new right upper lobe opacity needs a repeat PA and lateral chest radiograph for further evaluation. |
13090682 | PA and lateral views of the chest are provided. The lungs are clear and well expanded. No signs of pneumonia or CHF. No pleural effusion or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm. | 56701252 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: None. CLINICAL HISTORY: Pleuritic chest pain, assess for pneumonia. | No acute findings in the chest. |
13090682 | Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are present. | 50295726 | HISTORY: Pain within the mid thoracic and low lumbar spine after fall. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13090682 | 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 definite acute osseous abnormalities. There is an age indeterminate anterior compression deformity of an upper lumbar vertebral body, new compared to ___. | 57500391 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough x1 month. Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___; ___ | No acute cardiopulmonary abnormality. Age indeterminate anterior compression deformity of an upper lumbar vertebral body, new compared to ___. |
13013222 | There is mild elevation the right hemidiaphragm. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 57621269 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with calcaneal fx, preop // calc fx will need for sx TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | Mild elevation of the right hemidiaphragm. No focal consolidation. |
13993082 | The lungs are well expanded and clear. There is mild cardiomegaly. The aorta is tortuous. This possible rightward indentation on the trachea in the upper chest, likely due to enlarged thyroid gland. There is no pleural effusion or pneumothorax. | 55773843 | WET READ: ___ ___ ___ 9:20 PM Mild cardiomegaly. This possible rightward indentation on the trachea in the upper chest, enlarged thyroid gland not excluded. Of note the thyroid gland is seen to be enlarged on cervical spine CT. ______________________________________________________________________________ FINAL REPORT EXAMINATION: PA AND LATERAL CHEST RADIOGRAPHS INDICATION: ___-year-old female with generalized weakness. TECHNIQUE: PA and lateral chest radiographs COMPARISON: None available | Mild cardiomegaly. Rightward indentation on the trachea in the upper chest, enlarged left lobe of the thyroid gland seen on cervical spine CT. |
13172251 | Frontal and lateral views of the chest. No prior. The lungs are clear. There is no effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. | 51032293 | CHEST, TWO VIEWS, ___. HISTORY: ___-year-old male with left-sided chest pain. | No acute cardiopulmonary process. |
13961522 | The cardiac, mediastinal and hilar contours appear unchanged and a enlargement of the left atrial appendage is noted in addition to overall mild to moderate enlargement of the heart. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. | 58261366 | EXAMINATION: Chest radiographs. INDICATION: Chest pain. TECHNIQUE: Chest, PA upright and lateral. COMPARISON: ___. | No evidence of acute disease. |
13961522 | The heart is mildly enlarged. The hilar and mediastinal contours are within normal limits. There is central pulmonary vascular congestion with mild interstitial edema, and a small left pleural effusion. There is no pneumothorax. | 50940554 | INDICATION: Shortness of breath. COMPARISON: Radiograph available from ___. FRONTAL AND LATERAL CHEST | Mild cardiomegaly, central pulmonary vascular congestion with mild interstitial edema, and a small left pleural effusion, may represent cardiac decompensation. |
13961522 | Cardiomegaly is unchanged. No focal consolidation concerning for pneumonia. No large effusion or pneumothorax. The hila appear slightly congested though there is no frank edema. Bony structures are intact. | 52763324 | EXAMINATION: Portable chest x-ray INDICATION: ___F with generalized weakness // eval for pneumonia TECHNIQUE: Upright AP view of the chest COMPARISON: PA and lateral chest x-ray ___ | Stable cardiomegaly with hilar congestion, otherwise unremarkable. |
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