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13272743 | PA and lateral views of the chest provided. Loops a right upper extremity access PICC line is seen with its tip in the low SVC. Pulmonary vascular congestion is noted with mild interstitial pulmonary edema. Small to moderate bilateral pleural effusions are present, left greater than right. There is airspace consolidation in the left lower lobe which may represent atelectasis and/or pneumonia. No pneumothorax. Heart size is difficult to assess. Mediastinal contour appears grossly unremarkable. Bony structures are intact. | 53297669 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with known PNA with pleural effusion with worsening sob COMPARISON: None | PICC line positioned appropriately. Small to moderate bilateral pleural effusions, pulmonary congestion and mild pulmonary edema. Retrocardiac opacity concerning for atelectasis and/or pneumonia. |
13272743 | Lung volumes are unchanged compared to the prior study. There is persistent bibasilar atelectasis. Bilateral pleural effusions are similar in appearance when compared to the prior study. Platelike atelectasis in the left mid lung. A right-sided PICC terminates in the mid to distal SVC. Heart size is unchanged. Mild pulmonary vascular congestion is similar when compared to the prior study. | 52546702 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with HTN, HLD, DMII and recent hospitalization for gallstone pancreatitis, cholangitis and Ecoli bacteremia on abx, presenting with acute SOB and ___ edema suggestive of CHF exacerbation that is improving with diuresis. // pleural edema TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph. ___ | No significant interval change when compared to the prior study. |
13541358 | There is an endotracheal tube which terminates 1.6 cm above the level of the carina, recommend pull back. An enteric tube terminates in the stomach. Lungs are hyperinflated likely reflective of chronic pulmonary disease, and there is no focal consolidation, pleural effusion or pneumothorax. The heart is normal in size. Surgical clips project over the right diaphragm/upper abdomen. | 55250413 | INDICATION: ___-year-old female who is intubated. Evaluate endotracheal tube placement. TECHNIQUE: AP frontal chest radiograph was obtained. COMPARISON: None. | Endotracheal tube terminates 1.6 cm above the carina. Recommend pull back. Appropriate position of enteric tube. No acute cardiopulmonary process. |
13541358 | Since ___, mild to moderate bibasilar atelectasis is increased. The lungs are grossly clear. The heart size is unchanged. The tip of an endotracheal tube is seen 2.7 cm above the carina. The feeding tube is seen in the stomach. No pneumothorax or pulmonary edema. Leftward mediastinal shift is noted. | 52460660 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman with ?seizures, intubated // interval change TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiographs from ___, ___, ___. | Increase of mild to moderate bibasilar atelectasis since ___. |
13458689 | The heart is mildly enlarged with a left ventricular configuration. The aortic arch shows patchy calcification. There is no pleural effusion or pneumothorax. There is a small eventration of the right hemidiaphragm anteriorly. Streaky opacities in the right middle lobe are more suggestive of atelectasis or scarring than pneumonia or sequela of injury. Background interstitial abnormality is suggestive of a slight fluid overload. Thin anterior flowing osteophytes are noted along the mid thoracic spine. | 55764097 | CHEST RADIOGRAPHS HISTORY: Status post fall with pain in the head. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No definite evidence of injury. Findings suggest mild fluid overload. |
13566153 | PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. Heart size and the appearance of mediastinal structures including thoracic aorta are unchanged and stable. The pulmonary vasculature is not congested. The on previous examination identified rather nodular appearing densities located in the right upper lobe lateral segment and in the left hemithorax in a location compatible with the lingula of the left upper lobe, remain unchanged. They have not undergone any significant alteration in appearance or density. No new pulmonary abnormalities are present, no pleural effusion has developed as the lateral and posterior pleural sinuses remain free and no pneumothorax is seen in the apical area. | 55921658 | TYPE OF EXAMINATION: Chest PA and lateral. INDICATION: ___-year-old female patient with nodular sarcoidosis, on prednisone treatment, follow up examination. | Stable chest findings, no interval change since ___ in this patient with diagnosis of nodular sarcoidosis. |
13566153 | The cardiomediastinal and hilar contours are normal. A 1.0 cm right upper lobe , 1.3 cm right lower lobe and a 1.6 cm left infrahilar nodules are appear similar to the earlier study of ___. Compared to the prior study of ___, the lower lobe nodules are new. No pleural effusion or pneumothorax is seen. No new lung nodules are detected. | 58469586 | INDICATION: ___-year-old woman with fever, chills, and recent pneumonia, to rule out acute cardiopulmonary pathology. COMPARISON: Chest radiograph ___. PA AND LATERAL CHEST | Three nodules in the right upper lobe and left mid lung, are concerning for an infectious process including fungal and nocardia infection. Malignancy is also in the differential. Please refer to the CT chest performed on the same day for further evaluation. The findings and biopsy recommendations were discussed with Dr.___ at 9:20 A.M. |
13566153 | 2 views were obtained of the chest. The previously described right upper lobe and lingular nodules continue to decrease in prominence. There is no focal consolidation, pleural effusion or pneumothorax. An equivocal nodule is seen overlying the left upper lobe on the frontal view. The heart is normal in size with normal mediastinal and hilar contours. | 53515402 | HISTORY: Cough and hemoptysis with history of sarcoidosis. Assess for pneumonia. COMPARISON: ___ and ___. | No acute intrathoracic process. Continued decrease in conspicuity of the right upper lobe and lingular nodules. Equivocal left upper lobe nodule can be assessed by shallow oblique radiographs on a non-emergent basis. |
13566153 | Frontal and lateral radiographs of the chest show persistent nodular opacities in the right upper lobe and lingula which appear less well defined than on ___. A small right pleural effusion is resolved from ___. No new focal opacity, pleural effusion or pneumothorax is present. The cardiac silhouette is normal in size. Thickening of the right paratracheal stripe is consistent with adenopathy, also seen on CT of the chest from ___. The mediastinal and hilar contours are unchanged. | 53228435 | INDICATION: ___-year-old female with pulmonary nodular sarcoidosis, here to evaluate for interval changes. On steroid therapy. COMPARISON: Chest radiograph, last performed on ___ and ___. | Less well defined appearance of right upper lobe and lingular pulmonary nodules from ___. Resolved small right pleural effusion from ___. Stable right paratracheal adenopathy also seen on CT of ___. |
13566153 | Frontal and lateral views of the chest are obtained. Patchy right upper lobe opacity is seen. No priors available for comparison to assess for interval change in this patient with reported recent history of pneumonia. The left lung is clear. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable, albeit the hilar contours. | 57304844 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of cough, dyspnea, recent pneumonia. COMPARISON: None. | Patchy right upper lobe opacity in a patient of this age is more worrisome for pneumonia as opposed to underlying lesion. No prior is available for comparison to assess for interval change. In the appropriate clinical setting, tuberculosis is not excluded. |
13566153 | PA and lateral views of the chest were obtained. Previously seen nodular densities in the right upper lobe and left mid lung are less prominent on today's study compared to previous exams. There are no new nodules, focal consolidation, pleural effusion or pulmonary edema. The cardiomediastinal silhouette is unremarkable. | 58426516 | INDICATION: ___-year-old female with lung sarcoidosis presenting with cough and blood-tinged sputum x3 days. Rule out infiltrate or increase in nodularities. COMPARISON: Comparison is made to radiograph of the chest from ___ and ___. | No new nodules. No acute cardiopulmonary disease. Previously seen right upper lobe and left mid lung nodules are less prominent compared to prior study. |
13067742 | Frontal and lateral views of the chest were obtained. The cardiac and mediastinal silhouettes are stable. Linear density projecting over the lateral right mid lung may be due to a calcified pleural plaque. Otherwise, no discrete focal consolidation is seen. There is mild biapical pleural thickening. There is no pleural effusion or pneumothorax. The lungs are relatively hyperinflated, which may be due to underlying chronic obstructive pulmonary disease. There is appearance of tenting of the right hemidiaphragm on the frontal view, which may be due to underlying atelectasis/scarring on the right. There is mild pulmonary vascular congestion without overt pulmonary edema. Degenerative changes are seen along the spine. | 56170502 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with new AFib and lower extremity edema. COMPARISON: None. | Mild pulmonary vascular congestion without overt pulmonary edema. No pleural effusion. Possible right-sided pleural plaques with associated scarring/atelectasis. |
13131584 | 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. | 51609240 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with cough // r/o infiltrate COMPARISON: None | No acute intrathoracic process. |
13121392 | Overall, no significant interval change other than perhaps slight interval increase in left lower lobe atelectasis with left shift of the mediastinum. The known common tiny left apical pneumothorax persists, grossly unchanged in size since yesterday. The left PleurX catheter tip projects over the left lower thorax within the moderate-sized left pleural effusion, which is overall also similar in size. Associated compressive atelectasis persists. Opacity in left lateral lung, corresponding to the known malignancy is unchanged. Increased interstitial markings, particularly on the left are unchanged, reflecting edema and/or possible lymphangitic spread. No change in the radiographic appearance of the right lung. No right pleural effusion. | 53956329 | EXAMINATION: Chest radiograph INDICATION: ___-year-old female with lung cancer and a unilateral malignant effusion, status post pleurX catheter placement on ___ with a resulting pneumothorax ; evaluate for interval change in the pneumothorax. TECHNIQUE: Portable, AP upright radiograph view of the chest. COMPARISON: Chest radiograph dated ___ at 16:27. | Persistent tiny left apical pneumothorax without evidence of tension. Persistent moderate left pleural effusion despite PleurX catheter placement. Slight interval increase in left lower lobe atelectasis. |
13121392 | AP portable upright view of the chest. There is increasing opacity in the left mid and lower lung which may represent worsening effusion. Right lung remains relatively clear and hyperinflated with lucent upper lung. Heart size cannot be assessed. Mediastinal contour is unchanged. Bony structures appear grossly intact. | 52686339 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with h/o lung CA w/ new hypoxia // ? acute cardiopulm procedss COMPARISON: Prior study from ___. | Increased opacity in the left mid to lower lung is concerning for worsening effusion. |
13121392 | Moderate to large left-sided pleural effusion with left upper lobe mass and coarse reticular opacities throughout the left lung are known lung cancer and likely lymphangitic carcinomatosis. Right lower lobe coarse reticular opacities. No pneumothorax. | 56703732 | INDICATION: ___ year old woman with pleural effusion // eval TECHNIQUE: Chest PA and lateral COMPARISON: FDG PET-CT dated ___ | Moderate to large left effusion with known left lung cancer and lymphangitic spread. |
13121392 | The known tiny left apical pneumothorax persists and has not increased in the interim, overall unchanged. No evidence of tension. Left Pleur-X catheter tip projects over the lower hemithorax within the effusion. Persistent small to moderate left apicolateral pleural effusion with compressive atelectasis, overall unchanged. Opacity along the left lateral aspect of the lung and the left lower lung are overall unchanged and correspond to the known lung cancer is better appreciated on the PET-CT from ___. Bilateral increased interstitial markings are overall unchanged and suggest lymphangitic spread. Mediastinal contours are overall unchanged. Mild aortic knob calcifications are unchanged. | 52163247 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman with recurrent L MPE s/p TPC Placement (air entrained during procedure), small L apical PTX seen post procedure. // Rpt CXR to look at stability of L PTX. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from earlier on the same day dated ___ at 13:33. Limited reference is made to the PET-CT dated ___. | No significant interval change. Persistent small left apicolateral pneumothorax and moderate left pleural effusion. |
13121392 | Left pleural catheter is noted. There is no pneumothorax. Persistent left basilar pleural effusion has not significantly changed since most recent examination. Underlying parenchymal opacities with some distortion of the underlying parenchyma laterally is compatible with patient's known neoplasm and associated possible lymphangitic spread or edema. The right lung is grossly clear. Cardiac silhouette is difficult to accurately assess. No acute osseous abnormalities. | 59084585 | INDICATION: ___F with L shoulder pain, chest pain // eval for consolidation, effusion TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No significant interval change noting persistent left pleural effusion with pleural catheter in place and similar underlying parenchymal changes compatible with underlying lesion with associated parenchymal changes as above. |
13121392 | Compared to radiograph from ___, there has been interval resolution of pneumothorax and substantial decreased left pleural fluid. There is left pleural fluid, which probably has redistributed, and persistent compressive atelectasis. Opacity along the left lateral aspect and the lower lung are consistent with patient's known lung cancer and is better appreciated on the PET-CT from ___. Again seen is bilateral increased interstitial opacities, likely reflecting lymphangitic spread. Heart size is difficult to assess but likely upper limits of normal.Mediastinal and hilar contours are unchanged. There is no evidence for pneumothorax.Left PleurX catheter tip projects over the left mid hemithorax. Aortic knob calcification appears unchanged. | 55761725 | INDICATION: ___ year old woman with pleural effusion. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ and ___. PET-CT from ___. | No pneumothorax. Left pleural effusion, likely unchanged given differences in technique. Left lower lung opacities, likely patient's known cancer which is better appreciated on prior CT. |
13121392 | As compared to chest radiograph from the same day. Mild to moderate decrease in the left-sided pleural effusion. Left upper lobe peripheral mass and coarse reticular opacities unchanged. Right lower lobe reticular opacities also unchanged. No pneumothorax. | 51669458 | INDICATION: ___ year old woman with pleural effusion // s/p thoracentesis | Mild to moderate decrease in left-sided pleural effusion. No pneumothorax. |
13183383 | Single AP portable chest radiograph demonstrates unremarkable mediastinal contours. Cardiac silhouette is enlarged. Hazy pulmonary vasculature is identified with faint patchy opacities in the perihilar and upper lung zones suggests a mild degree of pulmonary edema. Retrocardiac opacities likely represent atelectasis, though developing infectious process cannot be excluded in the appropriate clinical setting. Minimal blunting of the right costophrenic angle may reflect a small pleural effusion though this area is not well evaluated due to overlying medical devices. No osseous abnormalities identified. | 54630491 | INDICATION: New bleed. Please evaluate for congestive heart failure. COMPARISON: No prior studies available for comparison. | Mild pulmonary edema with retrocardiac capacity likely representing atelectasis though cannot exclude infection. Possible small riht pleural effusion. |
13389369 | The lungs are clear with the exception of minimal linear atelectasis in the left lung base. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. In the lateral view, there is a nodular focus of 1.8 cm projecting over the posteroinferior angle of a mid thoracic vertebra and the superior segments of the lower lobes. This lesion appears to follow the contour of the vertebral body. | 55557542 | INDICATION: ___-year-old male with subjective fever and dry cough. Evaluate for evidence of pneumonia. COMPARISON: Portable chest radiograph from ___. | Small hyperdense focus only seen in the lateral view as described above might represent an ill-defined sclerotic bony lesion versus a lung consolidation. A chest CT is recommended for further assessment. These findings were communicated to Dr ___ ___ PCP at ___ ___) via telephone on ___ at 10:30 am by Dr ___. |
13196770 | Frontal lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and moderately well-aerated lungs which are clear without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. | 57120803 | INDICATION: Pleuritic chest pain. Evaluate for pneumothorax. COMPARISON: None available. | No evidence of pneumothorax or other acute cardiopulmonary process. |
13765409 | AP upright and lateral views of the chest were provided. Midline sternotomy wires are again noted as well and mediastinal clips. The lungs appear clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Atherosclerotic calcification along the aortic knob is noted. Bony structures appear intact. No free air below the right hemidiaphragm. | 57771113 | CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___. CLINICAL HISTORY: ___-year-old man with dyspnea on exertion. | No acute findings in the chest. |
13637699 | Since the last radiograph performed earlier today, there has been interval placement of a tracheostomy tube which terminates approximately 4 cm above carina. The enteric tube and endotracheal tube have been removed. The left sided PICC line is unchanged in position terminating in the distal SVC. Bilateral pleural effusions appear to have improved since the prior CXR performed earlier today, but this may partially be due to patient position. There is no pneumothorax. There are no changes to the cardial mediastinal silhouette. | 55840866 | EXAMINATION: Portable chest radiograph INDICATION: ___ year old man with s/p trach placement // s/p trach TECHNIQUE: Portable chest radiograph COMPARISON: Multiple chest radiographs since ___, most recently ___ at 05:26. | Interval placement of a tracheostomy tube, terminating 4 cm above the carina. Enteric tube and endotracheal tube have been removed. |
13637699 | AP portable upright view of the chest. A tracheostomy tube is unchanged in position. A left subclavian central venous catheter terminates at the cavoatrial junction. The lung volumes are low. The heart size is top normal. The hilar and mediastinal contours remain within normal limits. A previously seen right upper zone lung opacity has resolved, compatible with aspiration. However, there is new slight obscuration of the right hemidiaphragm, concerning for aspiration versus small consolidation. | 59419188 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p MVC now s/p trach and PEG with aspiration yesterday // please look for interval changes COMPARISON: Chest radiograph from ___. | New slight obscuration of the right hemidiaphragm, concerning for right lower lobe aspiration versus consolidation. Interval resolution of the right upper zone opacity, reflecting prior aspiration. |
13637699 | Since the recent CXR on ___, there are worsening bilateral pleural effusions, right significantly greater than the left. There is no evidence of pneumothorax or pneumoperitoneum. Previous left-sided subclavian line has been removed. The tracheostomy tube is unchanged in position and terminates approximately 1 cm above the carina. The right-sided PICC line terminates at approximately the upper SVC, unchanged. The cardiomediastinal silhouette is within normal limits. | 59044744 | EXAMINATION: Portable chest x-ray. INDICATION: ___ year old man with recent G-tube manipulation and increased abdominal pain // ? free air TECHNIQUE: Portable chest radiograph COMPARISON: Chest x-ray ___. | Worsening bilateral pleural effusions, right greater than left. No pneumothorax or pneumoperitoneum. |
13637699 | AP portable upright view of the chest. A tracheostomy tube is unchanged in position. A left subclavian central venous catheter terminates at the lower SVC. The lung volumes are low. The heart size is normal. The hilar and mediastinal contours are within normal limits. The central pulmonary vessels are engorged, however, there is no overt edema. There is no pneumothorax or pleural effusion. There is a new focal opacity within the right upper zone which may reflect aspiration or small consolidation. | 56440071 | WET READ: ___ ___ ___ 11:14 AM Tracheostomy tube is midline. There are bilateral pleural effusions, right greater than left, increased since prior. However, an underlying infectious process at the right lung base cannot be entirely excluded, Short interval follow up recommended. WET READ VERSION #1 ___ ___ ___ 10:50 PM Tracheostomy tube is midline. There are bilateral pleural effusions, right greater than left, increased since prior. However, an underlying infectious process at the right lung base cannot be entirely excluded, Short interval follow up recommended. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p MVC s/p trach and peg, ?aspiration event // look for evidence of aspiration COMPARISON: Chest radiograph from ___. | New right upper zone opacity which may reflect suspected aspiration, versus early consolidation. |
13637699 | There has been interval placement of a nasogastric tube which enters the stomach, tip not visualized. Bilateral subclavian intravenous catheters, including a partially imaged right-sided PiCCO2 monitor, remain in satisfactory position. Small layering right pleural effusion is unchanged. The left lung is clear. There is no pneumothorax. The heart and mediastinum are within normal limits despite the projection. | 59021077 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: NG tube placement. TECHNIQUE: Single AP view radiograph of the chest from ___. COMPARISON: ___. | No significant interval change. |
13934236 | There is re- demonstration of moderate cardiomegaly with tortuous aortic arch. Atherosclerotic calcifications are noted within the arch. There is mild prominence of the pulmonary vasculature and trace edema. There is some increased density at the posterior base seen on lateral view only. There is no effusion or pneumothorax. The rib fractures identified on prior chest CT are not well evaluated on this study. | 57475426 | WET READ: ___ ___ ___ 5:37 PM Low lung volumes with central pulmonary vascular congestion and trace edema. There is some increased density as compared to the prior study seen at the posterior base on lateral view only and wall this may represent atelectasis, infection cannot be excluded. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: Status post mechanical fall with right-sided rib fractures, pulmonary contusions and desaturations. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT chest ___. | Mild facet congestion and trace edema. Some increased density compared to the prior at the posterior base on lateral view only which may represent atelectasis. Infection cannot be excluded. |
13067514 | The lungs are normally expanded and clear, however the inferior most aspects of the costophrenic sulci are omitted from view on the frontal projection. There is no large pleural effusion or pneumothorax. Heart size is normal. The mediastinal and hilar contours are normal. | 51472267 | INDICATION: History: ___M with cough fever CP on L // acute process TECHNIQUE: Chest PA and lateral COMPARISON: None | No acute cardiopulmonary abnormality. |
13665827 | PA and lateral views of the chest provided. A nodular opacity projecting over the right upper lung appears bilobed and measures approximately ___.5 mm in maximal dimension. In the absence of prior imaging studies, a nonemergent chest CT may be obtained to exclude underlying nodule. Lungs are otherwise clear without signs of pneumonia or edema. Heart and mediastinal contours are normal. Bony structures are intact. | 53848740 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain // eval for infiltrate COMPARISON: None | No signs of pneumonia or edema. Nodular opacity projecting over the right upper lung measuring up to ___.5 mm, indeterminate, requires further evaluation with nonemergent chest CT. |
13600861 | ET tube ends 2.5 cm above the carina. Right jugular line is in right upper atrium. An NG tube ends in the stomach. Bilateral lung ground glass opacities are unchanged. Left lower lobe consolidation has slightly improved since the previous exam. There is no pneumothorax or pleural effusion. | 55316991 | WET READ: ___ ___ ___ 8:22 PM NGT ends in the stomach. ETT ends 2.4cm above carina. R IJ line ends in Right atrium. pulmonary edema is similar to prior. WET READ VERSION #___ ___ ___ ___ 8:19 PM NGT ends in the stomach. ETT ends 2.4cm above carina. R IJ line ends in Right atrium. pulmonary edema is similar to prior. ______________________________________________________________________________ FINAL REPORT PORTABLE AP CHEST X-RAY INDICATION: Patient with NG tube placed. COMPARISON: ___. | Tubes and lines are in adequate position, including the new NG tube. Stable bilateral lung opacities and slightly improved left lower lung consolidation are more typical for microorganisms like mycoplasma or viral pneumonia rather than bacterial pneumonia. |
13600861 | Compared with earlier radiograph, the patient has been intubated with the ET tube ending 2.7 cm above the carina. A right internal jugular central venous catheter ends in the upper right atrium. There is a new retrocardiac opacity which could represent aspiration, atelectasis or consolidation. There is otherwise no change in moderate pulmonary vascular congestion and mild cardiomegaly. No pleural effusion or pneumothorax is present. | 55290043 | HISTORY: Respiratory distress status post intubation. COMPARISON: ___ at 5:16. | New ET tube in satisfactory position. Right internal jugular catheter ends in the upper right atrium and should be withdrawn by 2 cm. New retrocardiac opacity could represent aspiration, atelectasis or consolidation. Stable appearance of moderate pulmonary edema and mild cardiomegaly. Telephone notification to Dr. ___ by Dr. ___ at 12:07 on ___. |
13600861 | Bilateral widespread opacities have significantly worsened since previous exam. There is no pneumothorax or pleural effusion. ET tube ends 2.8 cm above the carina. Right jugular line is in upper atrium. NG tube is in the stomach. Mediastinal and cardiac contours are top normal. | 56574538 | PORTABLE AP CHEST X-RAY INDICATION: Patient with Gram-positive cocci pneumonia on chest x-ray, bilateral infiltrates. COMPARISON: ___. | Bilateral widespread opacities have significantly worsened. It could be due to real progression of the pneumonia or change in the ventilation parameters. This was discussed with the medical team at 9:37 a.m. |
13659106 | PA and lateral views of the chest provided. A metallic foreign object is seen within the soft tissues of the left upper abdomen measuring 1.1 x 1.9 cm, may represent a metallic bullet. 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. | 54713818 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with renal mass, pre-op planning // acute process? COMPARISON: Prior CT abdomen pelvis from ___. | No acute intrathoracic process. Probable metallic bullet embedded in the soft tissues of the left upper abdominal wall. |
13561788 | Lung volumes are low. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and size is normal. Mediastinal contours are within normal limits. | 58146290 | HISTORY: ___-year-old female, pregnant, with syncope. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None available. | No radiographic evidence for acute cardiopulmonary process. |
13115959 | Small right pneumothorax is a stable. Cardiac size is top-normal. The aorta is tortuous. Dobhoff tube tip is post pyloric. There is no pleural effusion. There is mild vascular congestion | 53387944 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman w/ R PTX. chest tube removed // perform at 5pm. r/o PTX TECHNIQUE: Chest PA and lateral COMPARISON: Study performed 7 hours earlier | Mild vascular congestion. The stable small right pneumothorax |
13115959 | The tip of the Dobhoff tube is seen in the mid esophagus. Lungs are clear. The cardiac size is mildly enlarged. There is no pulmonary edema or pneumothorax. | 59518063 | WET READ: ___ ___ 2:32 PM The tip of the Dobhoff tube is seen in the mid-esophagus. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___F with displaced NGT // Check NGT position TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs from ___, ___ | The tip of the Dobhoff tube is malpositioned within the mid-esophagus. |
13115959 | Weighted feeding tube is seen, terminating in the left upper quadrant, likely in the proximal stomach. The patient is rotated somewhat to the left. Cardiac and mediastinal silhouettes are stable. Hilar contours are stable. No new focal consolidation is seen. Slight blunting of the costophrenic angles may be due to overlying soft tissue. There is diffuse osteopenia. | 58296422 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with dislodged feeding tube // please eval for dobhoff position TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Weighted feeding tube likely terminates in the proximal stomach. |
13115959 | A new Dobhoff tube is seen in the right mainstem bronchus. A right chest tube is in place. The known right pneumothorax is small. Mild right atelectasis persists. The heart size is normal. Left lung is grossly clear. Subcutaneous emphysema is again noted. | 54887990 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman with new DHT // DHT placement TECHNIQUE: Portable AP chest radiograph COMPARISON: Prior chest radiographs of ___, ___, ___, ___ | Dobhoff tube is seen in the right mainstem bronchus. |
13115959 | There has been interval placement of a right-sided chest tube with tip projecting over the lateral aspect of the right mid lung field. Previously noted right-sided pneumothorax has decreased in size, now appearing small. There is new bandlike linear opacity in the right lung base, compatible with atelectasis. The cardiac and mediastinal contours are unchanged. Left lung remains grossly clear. Subcutaneous emphysema in the right lateral chest wall is new. | 58713163 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with pneumothorax now with pig tail placed TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___ at 11:38 chest radiograph | Interval placement of right-sided chest tube with decreased size of right pneumothorax, now small. Right basilar atelectasis. |
13115959 | An enteric tube is noted with tip in the distal esophagus, and should be advanced by approximately 15 cm for appropriate positioning within the stomach. Heart size is mildly enlarged. The aorta is tortuous and diffusely calcified. Mediastinal and hilar contours are within normal limits. Lungs are hyperinflated with findings suggestive of emphysema. Streaky left basilar opacity may reflect atelectasis. No pleural effusion or pneumothorax is seen. There are mild degenerative changes within the thoracic spine with S-shaped scoliosis. | 50351544 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with GT placed, now out at 30 // ?GT location TECHNIQUE: Portable AP view of the chest COMPARISON: ___ chest radiograph | Enteric tube tip in the distal esophagus, and should be advanced by approximately 15 cm for appropriate position within the stomach. Streaky left basilar opacity may reflect atelectasis. |
13115959 | AP upright and lateral views of the chest provided. Feeding tube appears well positioned with the tip of the catheter in the right upper quadrant. Lungs are clear. Cardiomediastinal silhouette is stable. Bony structures are intact. | 59909072 | EXAMINATION: CHEST (AP upright AND LAT) INDICATION: ___F with clogged dobhoff COMPARISON: ___ | Appropriately placed feeding tube. |
13115959 | The cardiomediastinal and hilar contours are stable. The lungs are clear. An enteric tube descends below the field of view and likely terminates within the proximal small bowel. No pneumothorax. | 54195104 | INDICATION: ___F with blocked NG tube // location of NG tube TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs the most recent on ___ | Enteric tube likely terminates within the proximal small bowel. |
13115959 | There is a new moderate size right pneumothorax with atelectasis of the right lung. There is no contralateral shift of mediastinal structures to suggest tension. The left lung is clear. Heart size is normal. Tortuosity of the thoracic aorta is again noted. There is no pulmonary vascular congestion. No pleural effusion is identified. No enteric tube is identified. | 56765209 | EXAMINATION: Portable AP upright chest radiograph INDICATION: History: ___F with attempt at placement of a dobhoff tube, now with tachycardia TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___ at 15:48 | New moderate size right pneumothorax without evidence for tension. |
13115959 | The Dobhoff tube terminates in the mid to proximal esophagus. This should be advanced for optimal placement within the stomach. Faint irregular opacities in the right upper lung may represent pulmonary nodules. Chest CT could be obtained for further evaluation if clinically indicated. Mildly increased interstitial markings bilaterally may reflect mild volume overload. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The osseous structures and upper abdomen are unremarkable. | 59628599 | WET READ: ___ ___ ___ 9:12 AM 1. Dobhoff tube terminating in the upper to mid esophagus, this should be advanced for optimal placement. 2. Mildly increased bibasilar interstitial markings may reflect mild volume overload. 3. Right upper opacities may represent pulmonary nodules, chest CT could be obtained for further evaluation, if clinically indicated. WET READ VERSION #1 ___ ___ ___ 4:58 AM 1. Doboff tube terminating in the upper to mid esophagus, this should be advanced for optimal placement. 2. Mildly increased bibasilar interstitial markings may reflect mild volume overload. ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with dobhoff, evaluate Dobhoff positioning. TECHNIQUE: Single portable upright view radiograph of the chest. COMPARISON: None available. | Dobhoff tube terminating in the upper to mid esophagus, this should be advanced for optimal placement. Mildly increased bibasilar interstitial markings may reflect mild volume overload. Right upper opacities may represent pulmonary nodules, chest CT could be obtained for further evaluation, if clinically indicated. |
13598624 | The lungs are clear. Cardiac silhouette is slightly enlarged, probably due to fluid resuscitation. There is no pleural effusion, pneumothorax or pneumonia identified. | 50835225 | HISTORY: ___-year-old male with trauma. COMPARISON: None. TECHNIQUE: Single supine AP view of the chest. | No evidence of acute cardiopulmonary process. |
13376876 | PA and lateral views of the chest redemonstrates a right subclavian Port-A-Cath, unchanged in position, terminating in the mid SVC. There is no evidence of pneumothorax, focal consolidation, pleural effusion or pulmonary edema. The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. | 56009674 | HISTORY: Evaluation for port placement. COMPARISON: Comparison is made to radiograph of the chest from ___. | No acute cardiopulmonary process. Right-sided Port-A-Cath terminates in the mid SVC. |
13376876 | A right PICC line ends in the mid SVC. No focal consolidation, pleural effusion or pneumothorax. Normal heart size, mediastinal and hilar contours. | 56885460 | INDICATION: New right PICC line. COMPARISON: None available. | New right PICC ends in the mid SVC with no evidence of complication, particularly no pneumothorax. |
13376876 | PA and lateral views of the chest are reviewed and compared to the prior study. Normal heart, lungs, pleural and mediastinal surfaces. | 51080370 | INDICATION: Evaluation for all-trans retinoic acid syndrome in a patient with AML with shortness of breath while walking. COMPARISON: Chest radiograph ___ and ___. | Normal chest radiograph without evidence of all-trans retinoic acid syndrome. |
13376876 | A right subclavian Port-A-Cath is unchanged in position with the tip terminating in the mid SVC without any kinks or breaks in the line. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. | 53410013 | HISTORY: APML; Port-A-Cath tenderness. Evaluate Port-A-Cath. TECHNIQUE: PA and lateral chest radiograph, 3 views. COMPARISON: ___. | No acute cardiopulmonary process. Right subclavian port intact and unchanged in position. |
13257175 | The heart size is within normal limits. The mediastinal contours are within normal limits and unchanged. The lungs demonstrate retrocardiac opacities as well as an opacity at the right cardiophrenic angle. An area of linear atelectasis in the right mid lung has progressed or perhaps this opacity may represent fluid in the minor fissure. A widespread mild-to-moderate interstitial abnormality involves the right lung with sparing of the left mid and upper lung. Blunting of both costophrenic angles suggest small bilateral pleural effusions. There is no pneumothorax. | 58738665 | HISTORY: ___-year-old female with shortness of breath. STUDY: Portable AP upright chest radiograph. COMPARISON: ___. | Bibasilar opacities most suggestive of pneumonia in the appropriate clinical setting; noting widespread interstitial changes in the right upper lung compared to the left, the possibility of asymmetric edema with bibasilar atelectasis could be considered but seems less likely. Small bilateral pleural effusions. |
13257175 | PA and lateral views of the chest demonstrate slight improvemen in aeration at the right lung base. Small right pleural effusion persists. There is persistent thickening along the minor fissure. Retrocardiac consolidation is noted with associated moderate left pleural effusion. Hilar and mediastinal silhouettes are unremarkable. Perihilar vascular congestion is noted. Heart size top normal. Compression deformity of lower thoracic vertebral body is seen with near complete loss of the vertebral body height. | 55886418 | INDICATION: Shortness of breath. Assess for pneumonia. COMPARISONS: Chest radiograph of ___. | Left lung base consolidation with associated pleural effusion. Small right pleural effusion is present with improved aeration of the right lung. |
13110963 | The lung volumes are low with basilar bronchovascular crowding. Compared with ___, there has been interval development of bibasilar ill-defined opacities. On the lateral view, a spine sign is noted, and there appears to be a tiny right-sided pleural effusion. The left pleural sulcus is clear. The cardiomediastinal and hilar contours are unremarkable. The aorta is tortuous. There is no evidence of pneumothorax. Severe degenerative changes of the right shoulder are noted. | 58949064 | INDICATION: ___-year-old female with fever and acute change in mental status. Evaluate for evidence of cardiopulmonary process. COMPARISON: Multiple chest radiographs, latest one on ___. TECHNIQUE: PA and lateral chest radiographs. | Bibasilar opacities suggest pneumonia versus aspiration. Severe joint disease about the right shoulder. |
13880706 | The heart size remains mildly enlarged. Right paratracheal mediastinal widening is compatible with known underlying lymphadenopathy. Hilar contours are unchanged and there is no pulmonary vascular congestion. Emphysematous changes are again noted. A right lower lobe lesion posteriorly abutting the pleura appears unchanged compared to the recent chest CT. Ill-defined spiculated area within the left mid lung field appears unchanged compared to the prior chest radiograph, and does not appear to have a correlate on the CT. There is no pneumothorax or pleural effusion. Innumerable sclerotic metastases are better observed on the prior CT. | 59947296 | HISTORY: History of lung cancer with hypotension, nausea, vomiting. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: Chest CT and chest radiograph ___. | No radiographic evidence for pneumonia. Persistent mediastinal lymphadenopathy and right lower lobe lesion compatible with malignancy. |
13880706 | PA and lateral views of the chest are provided. Emphysema is again noted with hyperinflation and lucency of the lungs. The known right lower lobe pulmonary nodule is poorly visualized. Cardiomediastinal silhouette is stable. The known bony sclerotic metastatic lesions are better assessed on the prior CT. No free air below the right hemidiaphragm. | 56999043 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: With a chest radiograph from ___ as well as the CT chest from ___. CLINICAL HISTORY: Lung cancer with cough and chills, assess for pneumonia. | No evidence of pneumonia. Emphysema with findings of malignancy, better assessed on prior CT. |
13880706 | PA and lateral views of the chest. Compared to prior study, there is less elevation of the right hemidiaphragm and improved aeration. No definite focal consolidation, with mild bibasilar atelectasis noted. No pulmonary edema. There is possible trace left pleural effusion. No pneumothorax. Cardiomediastinal and hilar contours are stable. Previously seen right paratracheal lymphadenopathy is again noted, and better appreciated on prior chest CT. | 53776956 | INDICATION: SCLC, on chemotherapy, mucositis, shortness of breath when lying flat. COMPARISON: Chest radiograph on ___ and chest CT on ___. | Possible trace left pleural effusion. No definite consolidations or pulmonary edema. |
13880706 | PA and lateral images of the chest. The lungs are hyperinflated and clear. The known right lower lobe nodule is again noted on the lateral view, increased in size from prior exam. There has been interval increase in lower paratrachal adenopathy in the mediastinum. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged from prior exam. | 59809489 | HISTORY: Dyspnea. COMPARISON: Comparison is made with chest radiographs from ___ and ___. | No acute cardiopulmonary process. Increased size of known right lower lobe pulmonary nodule. Interval increase in lower paratrachal adenopathy in the mediastinum. |
13849668 | PA and lateral chest radiograph demonstrate clear lungs bilaterally. Streaky opacity at the left lung base is sequela of atelectasis. There is no pneumothorax, pleural effusion, or pulmonary edema. Cardiomediastinal and hilar contours are within normal limits. There is no air under the right hemidiaphragm. | 52088994 | INDICATION: History: ___M with syncope, wbc ___ // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No evidence of pneumonia. |
13413901 | There are low lung volumes without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Hilar contours are stable. | 54926493 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cp // eval for ptx TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Low lung volumes without focal consolidation or evidence of pneumothorax. No significant interval change from the prior study. |
13791874 | There is a triple-channel pacemaker device on the left with leads extending in the right atrium, right ventricle and left ventricular region. There is no pneumothorax. The cardiomediastinal and hilar contours are stable. There is persistent pulmonary vascular congestion as well as small bilateral pleural effusions. No new focal consolidations are identified. | 59320510 | INDICATION: ___-year-old man with new lead PPM placement. COMPARISON: Prior chest radiograph from ___ and ___. TECHNIQUE: PA and lateral chest radiographs. | Triple channel pacemaker leads terminate in right atrium, right ventricle and left ventricle, expected locations. No pneumothorax. Persistent pulmonary vascular congestion with small bilateral pleural effusions. |
13791874 | Frontal and lateral views of the chest were obtained. Battery pack overlies the left mid hemithorax. There is blunting of the posterior costophrenic angles which may be due to trace pleural effusion. Mild prominence of the central pulmonary vasculature is stable, suggesting small pulmonary edema. No new focal consolidation is seen. Hilar contours are stable. Cardiac and mediastinal silhouettes are stable. No pneumothorax is seen. | 51511304 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Cough and fever. COMPARISON: ___. | Trace bilateral pleural effusions and mild pulmonary vascular congestion. |
13804738 | 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. | 57998866 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with allergice reaction, hypertension and now shortness of breath COMPARISON: ___ | No acute intrathoracic process. |
13111741 | Single portable chest radiograph was provided. Again seen are bilateral pulmonary opacities, unchanged since the prior exam. A small right effusion is stable. There may be a trace left pleural effusion. Cardiomediastinal silhouette is unchanged. Median sternotomy wires are intact. The imaged upper abdomen is unremarkable. | 54975781 | INDICATION: History of RSV pneumonia, healthcare-associated pneumonia and aspiration. Increased work of breathing after drinking. Evaluate for effusion. COMPARISON: Chest radiograph from ___. | No significant change from the prior exam. Stable right pleural effusion. |
13111741 | Patient is status post median sternotomy and CABG. There has been interval placement of a right internal jugular central venous catheter, terminating at the cavoatrial junction, without evidence of pneumothorax. Endotracheal tube is somewhat high in position, measuring approximately 9.5 cm above the level of the carina; suggest advancing by approximately 3 cm. Bilateral opacities are overall grossly stable with possible slight increase at the left perihilar and medial lung bases. Bilateral pleural effusions are again seen, possibly slightly increased. The cardiac and mediastinal silhouettes are grossly stable. No pneumothorax seen. | 59242378 | EXAM: Chest, single frontal view. CLINICAL INFORMATION: Esophageal cancer, ARDS. COMPARISON: ___ at 17:32. | High in position endotracheal tube terminating approximately 9.6 cm above the level of the carina was discussed with Dr. ___ at 8:35 a.m. on ___ via telephone approximately 3 minutes after discovery. |
13111741 | The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear stable. There is again a small pleural effusion on the right. The right lung appears clear. On the left, there is a small hydropneumothorax with increased fluid content ,and small residual pneumothorax component, the latter apparently not increased. Mild volume loss at the left base is also similar in extent. | 59481038 | EXAMINATION: Chest radiograph. INDICATION: Dyspnea status post bronchoscopy. COMPARISON: ___. TECHNIQUE: Chest, portable AP upright. | Increased left pleural effusion associated with a small hydropneumothorax, otherwise unchanged. |
13111741 | Sternotomy wires are intact. Tiny left-sided pleural effusion is present, but was not visualized on the prior examination (frontal film). On the current frontal view, at the lower left lateral aspect there is an opacity which could represent a loculated pleural effusion or pleural thickening. Interval decreased mild right-sided pleural effusion. There has been complete resolution of pulmonary edema as seen on prior examination. Gastric pull-through may represent the right lateral aspect of the cardiomediastinal silhouette. | 52486226 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man status post minimally invasive esophagectomy per op note dated ___ with pleural effusion TECHNIQUE: PA and lateral COMPARISON: ___ | Pulmonary edema has completely resolved since ___ examination. Mild right-sided effusion probably decreased in size Tiny left pleural effusion with adjacent loculated pleural effusion or pleural thickening. |
13111741 | New opacity in the right middle lobe and lower lobes could represent post-surgical scarring; however, an acute process including infection and aspiration cannot be excluded. The right costophrenic angle is blunted, which could represent a small pleural effusion. The left lung and the left costophrenic angle are clear. Intact median sternotomy wires are redemonstrated as well as left mediastinal clips. The aorta is calcified. The heart size is normal. The previously seen pneumoperitoneum and subcutaneous emphysema have resolved. | 50261390 | CLINICAL INDICATION: Status post esophagectomy in ___. Presents with cough and rhonchi. Evaluation for acute process. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Multiple prior chest radiographs, the most recent of ___. | New opacity in the right middle and lower lobes may represent scarring from the patient's prior esophagectomy, infection and/or aspiration. Small right pleural effusion. |
13111741 | Endotracheal tube is seen terminating approximately 6 cm above the level of the carina, placed in the interval. The patient is status post median sternotomy. Extensive bilateral pulmonary opacities appear slightly improved compared to the prior study with slight improvement in aeration of the lungs. Obscuration of the right hemidiaphragm is seen which could be due to underlying atelectasis and pleural effusion. Cardiac and mediastinal silhouettes are stable. | 56009780 | WET READ: ___ ___ ___ 9:30 PM ET tube 4.6 cm from the carina, within normal limits. Severe ARDS with slight improved aeration of lungs compared to recent prior. ___ p___WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT EXAM: Chest, single AP upright portable view. CLINICAL INFORMATION: Possible ARDS and respiratory failure now intubated. COMPARISON: ___ at 09:03. | Extensive bilateral pulmonary opacities again seen with slight improvement and improved aeration of the lungs as compared to the prior study. Interval placement of endotracheal tube terminating approximately 6 cm above the level of the carina. |
13111741 | Cardiomediastinal contours are normal. Small bilateral effusions are grossly unchanged, probably loculated on the left side. Stable left perihilar opacities are consistent with atelectasis. Left lower lobe atelectasis has improved. There is no pneumothorax. Sternal wires are aligned. Patient is status post CABG. Degenerative changes in the thoracic spine are again noted. . | 55106476 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man s/p LLL wedge // check interval change TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormalities stable pleural effusions. No evident pneumothorax. . |
13111741 | The patient is status post coronary artery bypass graft surgery. A nasogastric tube courses into what appears to represent gastric pull-up. There is apparently a chest tube terminating in the right hemithorax although difficult to assess in detail since the films is somewhat blurry. | 56051475 | CHEST RADIOGRAPH HISTORY: Status post minimally invasive esophagectomy. COMPARISONS: ___ and more recent PET-CT dated ___ for which a frontal scout view is available. TECHNIQUE: Chest, AP portable. | Unremarkable post-operative findings. Somewhat limited film. |
13111741 | Single AP view of the chest shows persistent bilateral opacification, minimally improved to the left likely for improved pulmonary edema. Right basilar pleural effusion has increased. Cardiomediastinal silhouette is unchanged. There is no pneumothorax. Right internal jugular catheters have been removed. | 57042068 | PATIENT HISTORY: ___-year-old man with history of esophageal cancer, pneumonia progression. COMPARISON: Exam is compared to chest x-ray of ___. | Minimal improvement of left lung pulmonary edema. Interval increase of right basilar pleural effusion. Right IJ catheter has been removed. |
13111741 | The patient is status post median sternotomy. A tiny partially loculated left pleural effusion is unchanged. There is a stable small right pleural effusion. The heart and mediastinum are within normal limits. The lungs are clear. Multilevel spinal degenerative changes are stable. | 57894028 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old male with shortness of breath status post left thoracentesis. TECHNIQUE: PA and lateral radiographs of the chest from ___. COMPARISON: Earlier the same day at 10:28. | Unchanged small bilateral pleural effusions, right greater than left. Clear lungs. |
13603392 | The lungs are clear without focal consolidation, pleural effusion or pneumothorax on this single AP view. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. The patient is status post median sternotomy and CABG. | 59628100 | INDICATION: Active chest pain, here to evaluate for acute cardiopulmonary process. COMPARISON: CT torso performed earlier the same day at 05:19 AM and prior chest radiograph dated ___. TECHNIQUE: Portable upright AP radiograph of the chest. | No acute cardiopulmonary process. |
13886433 | The lungs remain clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. | 53487418 | INDICATION: ___M with s/s of indolent CHF, dyspneic at rest today // Eval for acute process TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13858896 | PA and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia. | 59400700 | HISTORY: ___ year old man with neck and back aches, as well as dizziness and two days of left arm pain. COMPARISON: Comparison is made to chest radiograph from yesterday. | No acute cardiopulmonary process. |
13858896 | The lungs are normally expanded and clear. The cardiomediastinal silhouette and hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. | 50293765 | INDICATION: Dizziness. Evaluate for pneumonia. COMPARISON: None. TECHNIQUE: Upright PA and lateral radiograph of the chest. | No evidence of acute cardiopulmonary abnormality. |
13726584 | PA and lateral chest views were obtained with patient in upright position. The heart size is at the upper limit of normal variation. No typical configurational abnormality is seen. Thoracic aorta is unremarkable. Pulmonary vasculature is not congested. A hazy density occupies the right lung base is identified on the lateral view as an infiltrate in the posterior portion of the right middle lobe abutting the minor fissure as well as the large fissure. There exist also some hazy densities on the left base, superimposed on the lateral heart border and suspicious for similar infiltrates in the left upper lobe lingula as well. There is a prominence in the right upper mediastinum, specifically occupying the right tracheal bronchial angulation which is up to 2 cm wide. This could be an enlarged lymph node related to the pneumonic infiltrates seen on the present examination. Differential diagnostic possibilities exist such as hilar mass and thus should be followed up. Our records do not include a previous chest examination available for comparison. | 58559475 | TYPE OF EXAMINATION: CHEST, PA AND LATERAL. INDICATION: ___-year-old male patient with chronic cough, evaluate for bronchiectasis or structural lung abnormalities. | Pneumonic infiltrates in right middle lobe and left upper lobe lingula. Coinciding prominence of superior mediastinal node. Followup examination in two weeks is recommended. Correlate with patient's clinical symptoms and signs. |
13954800 | Frontal and lateral chest radiographs were obtained. The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. | 59698261 | HISTORY: R/o signs of sarcoid and other structural abnormalities in vasculature. COMPARISON: ___. | No radiographic evidence for acute cardiopulmonary process. |
13302464 | PA and lateral views of the chest provided. Right lung is clear. Subtle opacity in the left lower lung could represent a very early pneumonia in the correct clinical setting. No large effusion or pneumothorax. The heart appears top-normal in size. Mediastinal contours unremarkable. Bony structures are intact. No free air below the right hemidiaphragm. | 54789289 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with COPD, with cough and SOB, by report found to have pneumonia on outside CT COMPARISON: None | Possible left lower lobe pneumonia. |
13368590 | PA and lateral views of the chest were provided. There is small left pleural effusion with mild pulmonary edema. The heart is mildly enlarged. Mediastinal contour is unremarkable. Bony structures appear intact. | 51005168 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Chest pain and shortness of breath, question acute pulmonary process. Additional history provided was renal transplant. | Pulmonary edema with small left effusion, likely indicate fluid overload. |
13368590 | No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits. There has been interval removal of the left-sided hemodialysis catheter. | 55808775 | INDICATION: ___-year-old female with hyperglycemia and clinical concern for pneumonia. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | No radiographic evidence for acute cardiopulmonary process. Interval removal of left-sided hemodialysis catheter. |
13188070 | There is minimal lower lobe atelectasis but no consolidation worrisome for pneumonia. Mediastinal and cardiac contours are normal. There is no pneumonothorax or pleural effusion | 52095734 | PA AND LATERAL CHEST X-RAY INDICATION: Patient with hepatitic C, HIV cirrhosis presenting with altered mental status, rule out pneumonia. COMPARISON: ___. | There is no evidence of pneumonia. |
13188070 | Portable view of the chest demonstrates layering bilateral pleural effusions and associated compressive atelectasis. The degree of pulmonary vascular congestion and pulmonary edema is unchanged. The Swan-Ganz catheter tip ends at the orifice of the right pulmonary artery. | 50843197 | HISTORY: Status post liver transplant with volume overload, interval assessment. COMPARISON: Chest radiographs from ___ through ___. | No significant interval change in the degree of pulmonary vascular congestion and edema. |
13188070 | Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. The lungs again demonstrate bibasilar atelectasis, but are otherwise clear. There is no pleural effusion or pneumothorax. Incidentally noted is an imcompletely imaged distended loop of colon measuring up to 6 cm, superimposed above the liver. | 53801250 | HISTORY: HIV and HCV cirrhosis with hyperbilirubinemia. Evaluate for consolidation, edema, or effusion. COMPARISON: Chest radiograph from ___. | No acute radiographic cardiopulmonary abnormality. An incompletely imaged distended loop of colon is incidentally noted. A dedicated abdominal radiograph can be obtained for further evaluation if clinically indicated. |
13188070 | A Dobbhoff tube is seen with its tip projected over the stomach. There is bibasilar atelectasis with no evidence of consolidation. The mediastinal and hilar contours are normal. The heart is normal in size. There is no osseous abnormality identified. | 54761908 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with increasing sob // please assess for infilatrate TECHNIQUE: Chest PA and lateral COMPARISON: Multiple chest radiographs the most recent on ___. | Dobbhoff tube seen with its tip projected over the stomach. Bibasilar atelectasis with no evidence of pneumonia. |
13749519 | The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Chronic right AC joint separation is noted. | 59712482 | INDICATION: ___M with cough // acute process? TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13014956 | Lung volumes are low. The cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. An opacity at right lung base is concerning for pneumonia. No pneumothorax. | 58752434 | WET READ: ___ ___ ___ 6:47 AM An opacity at the right lung base is concerning for pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with fever, rhonci // evaluate for pneumonia, acute process TECHNIQUE: Chest AP and lateral COMPARISON: None | An opacity at the right lung base is concerning for pneumonia. |
13740707 | Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. | 55767224 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with altered mental status, confusion TECHNIQUE: Upright AP view of the chest COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
13627620 | Frontal and lateral radiographs of the chest demonstrate well-expanded, clear lungs. Mild cardiomegaly is stable. Pacer leads are again seen extending to the right atrium and apex of the right ventricle with an additional lead in the region of the coronary sinus. There is no pneumothorax or pleural effusion. | 58778984 | HISTORY: ___-year-old man status post upgrade to biventricular pacer. Evaluate for lead placement. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___. | Stable appearance of pacer leads in the right atrium, right ventricle extending to the apex, and in the region of the coronary sinus. |
13627620 | Left-sided pacemaker device with leads terminating in the right atrium and right ventricle is in unchanged position. There is mild cardiomegaly with a left ventricular predominance. Aortic knob calcifications are re- demonstrated. The pulmonary vasculature is not engorged. Patchy right basilar opacity likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. Multilevel degenerative changes are noted within the mid and lower thoracic spine with bridging anterior osteophytes. | 50500068 | HISTORY: Congestive heart failure, recent stent placement, now with hypotension. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Minimal right basilar atelectasis. No evidence of congestive heart failure or pleural effusion. |
13627620 | AP upright and lateral views of the chest provided. Dual-lead pacer is seen with lead tips extending to the region of the right atrium and right ventricle. The heart is mild to moderately enlarged with an LV configuration. No signs of CHF or pneumonia. No pleural effusion or pneumothorax. Bony structures are intact with degenerative spurring in the mid thoracic spine. | 56279449 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Near syncope, lightheaded, assess for acute intrathoracic process. | Cardiomegaly without signs of congestive heart failure or pneumonia. |
13627620 | Re-identified is a left chest cardiac device with associated leads in unchanged configuration. The cardiomediastinal silhouette is stable, reflective of mild cardiomegaly. The hila are unremarkable. There are low lung volumes. There is no overt pulmonary edema. Retrocardiac opacity is minimal and likely reflects atelectasis. Crowding of the normal structures is seen near the right heart border, unchanged from prior exams. There is no new focal lung consolidation. There is no pneumothorax or sizable pleural effusion. | 55604029 | INDICATION: ___ year old man with fever and dyspnea. TECHNIQUE: AP chest radiograph. COMPARISON: Chest x-ray ___. | No new focal lung consolidation. No overt pulmonary edema. Stable mild cardiomegaly. |
13186475 | The lungs are clear aside from mild perihilar atelectasis. The cardiac, hilar and mediastinal contours are normal. No pleural abnormality is seen. | 56976316 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough. Evaluate for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13933674 | Relative symmetric prominence of the hila is most likely secondary to pulmonary artery enlargement and vascular congestion. There is no focal consolidation. The heart is mildly enlarged. The mediastinal contours normal. There is no pleural effusion or pneumothorax. | 54829334 | INDICATION: ___ year old man with significant cough, sob for 4 days, evaluate for pneumonia.. COMPARISON: Comparison is made to chest radiograph from ___ chest CT from ___. TECHNIQUE Frontal and lateral view of the chest. | No evidence of focal consolidation. Vascular congestion with enlargement of the bilateral pulmonary arteries. |
13933674 | AP single view of the chest has been obtained with patient in semi-upright position. There is moderate cardiac enlargement. No typical configurational abnormalities identified. The pulmonary vasculature appears somewhat increased, but this is probably the result of a poor inspirational effort and crowded appearance of the vascular structures. The diaphragms are relatively high positioned indicative of poor inspirational effort. Hazy density on the bases probably mostly related to patient's rather prominent adiposity. No conclusive evidence for pleural effusion or new acute infiltrates. No pneumothorax. | 56420567 | TYPE OF EXAMINATION: Chest, AP portable single view. INDICATION: ___-year-old male patient, status post left partial nephrectomy, chest tube, NG tube. Check. | Moderate cardiomegaly but no evidence of acute pulmonary abnormalities. |
13071041 | The patient is status post median sternotomy and transcatheter aortic core valve device placement which remains unchanged in appearance. Heart size remains moderately enlarged. Mediastinal contours on similar. There is moderate pulmonary vascular congestion which appears slightly worse in the interval. Trace bilateral pleural effusions are noted. Patchy atelectasis is noted in the lung bases. No pneumothorax is present. There are no acute osseous abnormalities. | 57511557 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with dyspnea TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Slight interval worsening of moderate pulmonary vascular congestion and small bilateral pleural effusions with bibasilar atelectasis. |
13071041 | The right IJ catheter has been removed in the interim. Median sternotomy wires and replaced bowels appear intact and unchanged. Mediastinal clips are again seen. The lungs are well-expanded and without evidence of edema, focal consolidation, effusion, or pneumothorax. The heart is moderately enlarged, overall unchanged. | 50530513 | EXAMINATION: Chest radiograph INDICATION: History: ___M with anemia and sob // pulmonary edema TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph dated ___. | Cardiomegaly, no edema. |
13071041 | Midline sternotomy wires and mediastinal clips are again noted. The heart remains mildly enlarged and there is mild congestion and pulmonary edema not significantly changed from prior exam. No large effusion is seen. Mild basilar atelectasis is noted without definitive evidence of pneumonia. Bony structures are intact. No free air below the right hemidiaphragm. | 58215511 | INDICATION: ___-year-old man with dyspnea and palpitations,. COMPARISON: Chest radiograph ___. TECHNIQUE PA and lateral chest radiographs | Stable findings of mild cardiomegaly and mild pulmonary edema. |
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