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13071041 | The patient is status post median sternotomy with well-aligned and intact wires. The patient is also status post aortic corevalve, which appear is unchanged since prior examination. The cardiac silhouette is enlarged. Mediastinal contours are unremarkable. There is moderate pulmonary vascular congestion and cephalization, not significantly changed since prior examination. Small fissural fluid is noted. There are small, posterior pleural effusions, not significantly changed since prior examination. | 52832412 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with HFpEF, AS s/p TAVR, who presents with cough and worsening SOB and hypoxemia c/f CHF exacerbation. TECHNIQUE: PA and lateral views of the chest were obtained. COMPARISON: PA and lateral views of the chest dated ___ | Stable findings consistent with pulmonary edema. |
13071041 | The patient is status post transcatheter aortic core valve device placement, with intact median sternotomy wires and a vascular stent in unchanged position. Mild cardiomegaly is unchanged. There is mild central pulmonary vascular congestion. No lobar airspace opacity, large pleural effusion, or pneumothorax is identified. | 59646664 | EXAMINATION: Chest radiograph. INDICATION: ___M status post TAVR now presenting with cough // acute process TECHNIQUE: Chest PA and lateral COMPARISON: ___. | Unchanged, mild cardiomegaly and central vascular congestion. |
13071041 | Cardiomegaly is similar in degree when compared to prior. Aortic core valve device is in stable position. Median sternotomy wires the mediastinal clips are again noted. Prominence of the interstitial markings are seen without overt edema. There is no effusion. Osseous structures are unremarkable. | 52280594 | INDICATION: ___M with CHF with worsening CP and productive cough // volume overload? PNA? TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Interstitial edema without focal consolidation. |
13071041 | Heart size is normal. Prominent central pulmonary vascular engorgement with interstitial pulmonary edema. Cardiomediastinal silhouette and hilar contours are otherwise normal. Lungs are otherwise clear. Probable small bilateral effusions. No pneumothorax. | 50329797 | EXAMINATION: Chest radiograph INDICATION: Known aortic regurgitation with new hypoxia. TECHNIQUE: Chest PA and lateral COMPARISON: None | Pulmonary vascular congestion and probable tiny bilateral effusions. No pneumonia. |
13071041 | Multiple median sternotomy wires and mediastinal surgical clips are again identified. Allowing for changes due to technique and patient rotation, the cardiomediastinal silhouettes are stable, consistent with mild cardiomegaly. The bilateral hila are unremarkable. Diffuse interstitial prominence bilaterally is consistent with mild pulmonary edema. There are small bilateral pleural effusions. A right basilar parenchymal opacity is consistent with compressive atelectasis. There is no evidence of pneumothorax. | 53275563 | EXAMINATION: AP and lateral chest x-ray. INDICATION: A ___-year-old man with history of aortic stenosis status post repair, here with dyspnea orthopnea and hemoptysis, evaluate for CHF or pneumonia. TECHNIQUE: AP and lateral upright chest radiographs. COMPARISON: Chest x-ray ___. | Stable mild cardiomegaly and mild pulmonary edema. Small bilateral pleural effusions with adjacent right basilar atelectasis. |
13545360 | Linear opacity in the right upper lung is most suggestive of scarring and possible bronchiectasis, unchanged. The lungs are otherwise clear without consolidation, effusion, or edema. Moderate cardiomegaly is again noted. No acute osseous abnormalities identified. | 52458337 | INDICATION: ___F with dyspnea // ?cause for dyspnea TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Cardiomegaly without acute cardiopulmonary process. |
13784509 | 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. Rounded 6 mm density projects over the right upper lung field between the right fourth and fifth posterior ribs which may be a calcified granuloma or perhaps be external to the patient. | 50885067 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with atypical chest pain for 2 weeks now constant x24 hours. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13894389 | The lungs are clear. The heart is top-normal in size. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal. | 53669190 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old man with a history of COPD and gradual onset dizziness. COMPARISON: Chest CT from ___. Rib radiographs from ___ and chest radiograph from ___. | No acute cardiopulmonary process. |
13894389 | Frontal and lateral radiographs of the chest demonstrate hyperexpanded lungs. Although the patient is oriented somewhat obliquely, there is an unusual appearance of the right hilum, and lymphadenopathy or other lesion cannot be excluded. The heart is not enlarged. There is no pneumothorax, pleural effusion, or consolidation. | 58635979 | HISTORY: ___-year-old man with pruritus and weight loss. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___. | Unusual appearance of the right hilum, and lymphadenopathy or other lesion cannot be excluded. Recommend dedicated CT of the chest for additional evaluation. Hyperexpanded lungs. |
13184837 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is mildly enlarged. There is no overt pulmonary edema. | 53414007 | HISTORY: Aortic stenosis with worsening dyspnea on exertion and presyncope. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13184837 | Single upright AP portable view of the chest was provided. There is a subtle poorly defined opacity projecting in the right upper lobe abutting the minor fissure which projects over the inferior blade of the scapula and likely represents an early focus of pneumonia. There is also subtle opacity in the left lung base which possibly may represent a second focus of pneumonia. No large pleural effusion. No pneumothorax. Heart size is top normal. Mediastinal contour is unremarkable. Bony structures appear intact. | 59592890 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Chest pain, assess for pneumonia. | Subtle opacity in the right upper lobe abutting the minor fissure concerning for pneumonia. Possible additional focus of pneumonia in the left lung base. |
13209577 | Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body. | 57451001 | HISTORY: ___-year-old male with fever and cough. COMPARISON: None. | No acute cardiopulmonary process. |
13230497 | Nasogastric tube tip is in the stomach but the side hole is at the GE junction. Allowing for the AP technique and patient rotation, cardiomediastinal silhouette is unremarkable. There is bandlike atelectasis at the right base. The lungs are clear. No pleural effusion or pneumothorax. Free intraperitoneal air under the left hemidiaphragm is likely related to recent surgery. | 50262028 | INDICATION: ___ year old woman s/p appendectomy // acute change TECHNIQUE: Single AP upright view of the chest. COMPARISON: None | No consolidation or pleural effusion. Free air under the left hemidiaphragm is likely related to recent abdominal surgery. |
13301995 | Postsurgical changes in the right chest including prior thoracotomy and rib resection with associated volume loss. No pulmonary edema or glass consolidation. No pleural effusion or pneumothorax. Prior left axilla lymph node dissection and left mastectomy. | 57033319 | INDICATION: ___ year old woman with shortness of breath, cough // effusion, edema TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13301995 | PA and lateral views of the chest provided. Postsurgical changes in the right hemi thorax noted with multiple surgical clips abutting the right mediastinal border as well as suture material in the right perihilar region and right apex. Volume loss in the right lung noted with elevated right hemidiaphragm. Surgical clips are noted in the left axilla and left lower chest wall. Subtle peripheral opacity in the left lower lung on the frontal view is somewhat unusual in appearance for pneumonia though appears new from the prior exam. The possibility of an early pneumonia difficult to exclude. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. | 50566754 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with chest pain cough // ?PNA COMPARISON: ___ | New peripheral opacity in the left lower lung could represent an early pneumonia though somewhat unusual in appearance. Followup to resolution is advised. |
13044775 | Cardiac silhouette size is top normal. The mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities. | 50684594 | EXAMINATION: CHEST (AP AND LAT) INDICATION: History: ___F with dyspnea on exertion, dizziness TECHNIQUE: Upright AP and lateral views of the chest COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
13044775 | The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. | 58924144 | INDICATION: History: ___F with coughm, recent pna // ? pna TECHNIQUE: PA and lateral images of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13044775 | 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. | 54526989 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with hyperglycemia. // pneumonia? TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
13044775 | The lungs are clear and the lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Heart is normal size. Mediastinal and hilar contours are unremarkable. | 51590556 | INDICATION: DKA. Evaluate for pneumonia. TECHNIQUE: Bedside frontal chest radiograph. COMPARISON: Chest radiograph ___. | No acute cardiopulmonary process. |
13572265 | PA and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No configurational abnormality is seen. Unremarkable contours of thoracic aorta with some wall calcifications seen at the level of the arch. No local contour abnormalities are present. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates can be identified and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area on the frontal view. Skeletal structures of the thorax grossly unremarkable. Comparison with the next preceding chest examination of ___, no significant interval change has occurred. | 54119354 | TYPE OF EXAMINATION: CHEST, PA AND LATERAL. INDICATION: ___-year-old male patient with cough and congestion and faint crackles in the right upper lung zone in the setting of new-onset fever to 102. Evaluate for pneumonia. | No cardiac enlargement, pulmonary congestion or acute infiltrates in this patient who developed new-onset fever. A preliminary report had been issued, but was deleted. The present report was rendered on ___ at 2:30 p.m. |
13747461 | Portable frontal chest radiograph. There is no pleural effusion, pneumothorax or focal airspace consolidation. Accounting for technique, the heart size is normal. The mediastinal and hilar structures are unremarkable. The pulmonary vascularity is normal. | 59546003 | HISTORY: Chest pain and dyspnea. Evaluate for acute cardiopulmonary process. COMPARISON: None. | No acute cardiopulmonary process. |
13190972 | Feeding tube tip mid stomach. Worsened bibasilar infiltrates. Right Port-A-Cath in place. Surgical clips upper abdomen. | 59816145 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with pancreatic cancer // dobhoff placement TECHNIQUE: Chest single-view COMPARISON: ___ | Feeding tube in place. Worsened bibasilar infiltrates |
13190972 | Bilateral patchy opacities remain relatively unchanged compared to most recent chest radiograph in bilateral lung bases. Cardiac size is normal. There is no pneumothorax or pleural effusion. Right chest port with tip in the right atrium. Dobbhoff tube tip is in the stomach. | 55359494 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with aspiration, hypoxia // ? PNA TECHNIQUE: Single frontal view of the chest COMPARISON: Chest radiograph ___ | No significant interval change ___ |
13190972 | Right chest port catheter tip is in the lower SVC. 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. | 58647230 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with pancreatic cancer, tachycardia // ?cpd COMPARISON: ___ | No acute intrathoracic process. |
13190972 | Left pectoral infusion port terminates at cavoatrial junction. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. | 53095077 | INDICATION: History: ___M with cough, hypoxia // presence of infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No radiographic evidence of pneumonia. |
13269934 | The lungs are clear of focal consolidation, effusion, or vascular congestion. The cardiac silhouette is top-normal in size. No acute osseous abnormalities identified. Chain sutures identified in the left upper quadrant. | 54803830 | INDICATION: ___F with history of gastric, breast, and uterine cancer, COPD, and reported pulmonary fibrosis presenting with 2 days of increased shortness of breath // please assess for consolidation TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. Please note that given patient's extensive history, CT would be more sensitive for detection of pulmonary metastases. |
13696617 | Single frontal view of the chest demonstrates an enteric tube in hairpin loop configuration with tip directed upwards at the level of the carina, compatible with malpositioning. The cardiac silhouette is mildly prominent, likely accentuated by AP technique. Mediastinal and hilar contours are within normal limits. Atherosclerotic calcifications are seen in the aortic arch. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. An apparent concavity along the superolateral aspect of the right humeral head may represent a Hill-___ deformity due to prior injury. | 50659124 | INDICATION: ___-year-old female with outside NG tube placement, here for evaluation. COMPARISON: Subsequent CT of same day. | Malpositioning of enteric tube, which was subsequently removed prior to same day CT performed later in the evening. |
13768004 | Right-sided PICC terminates at the junction of the SVC and right atrium. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Linear opacities within the left lung base likely reflect subsegmental atelectasis. Scarring within the lung apices is noted. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated. | 54460418 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chronic immunosuppression with extreme fatigue and elevated WBC TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13768004 | Single frontal view of the chest was obtained. Lung volumes are very low. New NG tube terminates in the upper chest at the level of the clavicles. Indistinctness of the vascular markings is compatible with pulmonary interstitial edema. Increased right hilar opacity is consistent with atelectasis. Atelectasis is also present at the lung bases. No pneumothorax. Heart size is normal. | 54230122 | HISTORY: ___-year-old female with Crohn's disease presenting with free air and incarcerated ventral hernia status post exploratory laparotomy with small bowel resection. Assess NG tube placement. COMPARISON: Chest radiograph of ___. | NG tube terminates in the upper chest at the level of the clavicles. New pulmonary interstitial edema. Findings were communicated via phone call by Dr. ___ to Dr. ___ ___ on ___ at 16:28. |
13768004 | Low lung volumes are present. Heart size is normal. Mediastinal and hilar contours are unremarkable. Minimal bibasilar atelectasis is noted. No focal consolidation, pleural effusion or pneumothorax is present. There are dilated loops of small bowel noted within the abdomen. Previously seen pneumoperitoneum is not clearly visualized on the current exam. | 50725127 | HISTORY: Possible free air under the diaphragm. TECHNIQUE: Upright AP view of the chest. COMPARISON: Abdominal radiograph from outside institution ___. | Previously noted pneumoperitoneum on outside abdominal radiograph performed the same date not clearly delineated on the current exam. Persistently dilated small bowel loops concerning for obstruction. Mild bibasilar atelectasis in the setting of low lung volumes. |
13113325 | The lungs are well-expanded and clear. The cardiac silhouette is enlarged. The patient has a pacemaker device present, with leads terminating in the expected location of the right atrium and right ventricle. There is no pneumothorax, pleural effusion, or consolidation. | 56761878 | WET READ: ___ ___ 3:54 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with sob*** WARNING *** Multiple patients with same last name! // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: None available. | No acute cardiopulmonary process. |
13817013 | Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no overt pulmonary edema. There is no focal consolidation. There is S-shaped scoliosis of the thoracic spine. | 52172750 | INDICATION: ___-year-old man with chest pain, evaluate for pulmonary edema. COMPARISON: None Available. TECHNIQUE AP and lateral view of the chest. | No evidence of pulmonary edema. No radiographic explanation for chest pain. |
13078901 | No focal consolidation, pleural effusion, or pneumothorax is seen. Lung volumes are slightly low. Heart and mediastinal contours are stable. The pulmonary vasculature is stably prominent. | 59113453 | HISTORY: ___-year-old female with shoulder pain. COMPARISON: ___. TECHNIQUE: Frontal and lateral chest radiographs were obtained. | Stable pulmonary vascular prominence. |
13078901 | The lung volumes are low. Compared to the prior study of ___, prominence of the pulmonary vasculature is relatively unchanged. Otherwise, the lungs are clear. Moderate-to-severe cardiomegaly has slightly increased. The mediastinal contours are normal. No pleural effusion or pneumothorax. | 56402839 | CLINICAL INDICATION: Bilateral edema. Evaluate for pulmonary edema. COMPARISON: Multiple prior chest radiographs, the most recent of ___. FRONTAL AND LATERAL VIEWS OF THE | Moderate-to-severe cardiomegaly has increased since ___. Pulmonary vascular congestion is relatively stable. |
13400331 | The lungs are clear of focal consolidation. Cardiomediastinal silhouette is within normal limits for technique. Tortuosity of the descending thoracic aorta is noted. No definite acute osseous abnormality is identified. | 54747286 | INDICATION: ___F with altered mental status // EvAl infiltrate TECHNIQUE: Single portable view of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13975291 | Frontal and lateral views of the chest are obtained. There has been interval removal of a previously seen right central venous catheter. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal to mildly enlarged. The aortic knob is calcified. No overt pulmonary edema is seen. | 51140249 | EXAM: Chest AP erect frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of DKA, question pneumonia. COMPARISON: ___. | No findings to suggest pneumonia. |
13635791 | PA and lateral views of the chest were provided. Lung volumes are low with mild plate-like lower lung atelectasis. No definite consolidation, effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 58302962 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior chest radiograph from ___. CLINICAL HISTORY: Cough with sputum production, question pneumonia. | No pneumonia or CHF. |
13433326 | Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Minimal scarring is noted in the lung apices. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 51055610 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain // eval for pneumothorax TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary abnormality. |
13762431 | The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No free air below the diaphragm. | 53597698 | INDICATION: ___F with epigastric pain // ? free air, cariopulmonary process TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. No free air. |
13942911 | PA and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Cardiomegaly is moderate. The thoracic aorta is tortuous. | 51437413 | HISTORY: Fall. COMPARISON: None. | Cardiomegaly and tortuous aorta. No acute pulmonary process. |
13942911 | There are small bilateral pleural effusions with adjacent atelectasis. Elsewhere, lungs are clear. Cardiac silhouette is mildly enlarged as on prior. There is tortuosity of the descending thoracic aorta. No acute osseous abnormalities. | 55192579 | INDICATION: ___M with afib, ESRD on HD with hypotension and syncope at dialysis today also with 1mo history of cough eval for PNA // eval for PNA TECHNIQUE: Frontal and lateral views the chest. COMPARISON: ___. | Small bilateral pleural effusions. |
13914896 | The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is no focal consolidation. Mild interstitial abnormality is noted, most commonly seen in smokers. There is no pleural effusion or pneumothorax. | 50309962 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M w/?brain mass and seizures, neurology requesting cxr // ___M w/?brain mass and seizures, neurology requesting cxr TECHNIQUE: Chest PA and lateral COMPARISON: None. | Mild interstitial abnormality is noted, which is most commonly seen in smokers. |
13538683 | There is no evidence of focal consolidations worrisome for pneumonia. Cardiac size is normal. Hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Calcifications of the aortic knob are noted. Patient is status post right shoulder surgery. | 59767938 | HISTORY: ___-year-old man with chest pain, question acute process. COMPARISON: None. TECHNIQUE: Single portable view of the chest. | No acute cardiopulmosy process. |
13028188 | Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. No fracture or malalignment is visualized. The visualized upper abdomen is within normal limits. | 50545469 | INDICATION: Evaluate for fracture in a ___-year-old man status post MVC presenting with a normal neurologic exam with C6 tenderness and thoracic back pain. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. No fracture or malalignment visualized. |
13812850 | There are relatively low lung volumes, which accentuate the bronchovascular markings. Given this, there may be a subtle right base opacity which could be due to consolidation versus atelectasis. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiac silhouette is not enlarged. | 59696971 | HISTORY: Sharp pleuritic chest pain and shortness of breath. TECHNIQUE: Frontal lateral views of the chest. COMPARISON: None. | Relatively low lung volumes. Subtle right lower lobe opacity could be due to consolidation versus atelectasis. Underlying pulmonary infarct cannot be excluded on this study. No evidence of pneumothorax. |
13821654 | Mild basilar atelectasis is seen without definite focal consolidation. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pneumothorax, pulmonary edema, pleural effusion, or pneumonia. | 59588523 | WET READ: ___ ___ ___ 9:31 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with syncope while shoveling snow*** WARNING *** Multiple patients with same last name! // c/f acute process TECHNIQUE: Chest PA and lateral COMPARISON: None. | Mild basilar atelectasis. No definite focal consolidation. |
13493732 | A frontal upright view of the chest was obtained portably. The lungs are well expanded. There is no focal consolidation, left pleural effusion or pneumothorax. Increased opacity at the lung bases bilaterally are likely atelectasis or scarring and there is a small right pleural effusion. Heart size is within normal limits. The aorta is tortuous with aortic knob calcifications. Degenerative change is seen in the left shoulder girdle. | 58772943 | CLINICAL HISTORY: ___-year-old man, unresponsive. Evaluate for infection. COMPARISON: No relevant comparisons available. | No pneumonia or edema. Small right pleural effusion. |
13872674 | A nasogastric tube terminates at the level of the GE junction as on the recent prior. Right PICC terminates in the mid SVC. Diffuse pulmonary opacities as well as thickened septal lines and vascular congestion reflect mild pulmonary edema. Cardiac size is normal with normal cardiomediastinal silhouette. | 58567312 | INDICATION: Desaturation after fluids. Assess for acute abdominal process. TECHNIQUE: AP upright radiograph of the chest. COMPARISON: Chest radiograph from earlier the same date. | Mild pulmonary edema. Nasogastric tube terminates at the level of the GE junction as mentioned on the previous study. Could be advanced by 10 cm for optimal positioning. |
13872674 | Epicardial pacing wire projects over the left paraspinous region. The heart size is within normal limits. Mediastinal and hilar contours appear unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. A small amount of free air under the right hemidiaphragm, may be from to recent laparotomy, but a small bowel perforation cannot be excluded. Additionally, large loops of small bowel are seen, measuring up to 5 cm, could signal a small bowel obstruction. | 51477631 | PROVISIONAL FINDINGS IMPRESSION (PFI): ___ ___ ___:___ PM 1. No evidence of pneumonia. 2. Small amount of subdiaphragmatic free air, possibly postsurgical, although persisting or new perforation/leak cannot be excluded; correlate clinically. 3. 5 cm loop of small bowel, concerning for ileus or SBO ______________________________________________________________________________ FINAL REPORT HISTORY: A ___-year-old male with fever. Also, history of large cell lymphoma status post chemotherapy in ___, as well as prostate adenocarcinoma status post radiation therapy in ___. STUDY: Portable AP upright chest radiograph. | No evidence of pneumonia. Small amount of subdiaphragmatic free air, possibly postsurgical, but bowel perforation is not excluded. Small bowel dilated, could be obstructed; KUB has been ordered. Findings were discussed with Dr. ___ at ___:___ on ___ by ___ ___ over the phone. |
13873902 | Retrocardiac opacity obscures the medial left hemidiaphragm. There is no pneumothorax. There may be trace bilateral pleural effusions. There is moderate bilateral pulmonary vascular congestion and mild to moderate interstitial edema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 57723895 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with SOB chest pain // eval for pna COMPARISON: None available | Retrocardiac opacity could be due to atelectasis or pneumonia. Mild to moderate interstitial edema. |
13293211 | PA and lateral views of the chest demonstrate bibasilar opacities, right greater left. There is also blunting of the left costophrenic angle, possibly due to effusion versus scarring. Calcifications of the aorta are seen throughout the aortic knob as well as the arch and descending aorta. Heart size is top normal. | 55837880 | CLINICAL HISTORY: ___-year-old woman with cough. COMPARISON: ___. | Right lower lobe consolidations concerning for pneumonia. Left lower lobe opacities are also present, possible effusion, but underlying pnuemonia is possible. |
13293211 | AP and lateral views of the chest. The lungs are well expanded and clear of focal consolidation. There is no effusion or overt pulmonary edema. Cardiac silhouette is enlarged but stable in configuration. No acute osseous abnormality is identified. | 53618027 | CHEST, TWO VIEWS; ___ HISTORY: ___-year-old female with hypertensive urgency. Question CHF. COMPARISON: ___. | No acute cardiopulmonary process. |
13293211 | Heart size remains mildly enlarged. The aorta is diffusely calcified. Mediastinal and hilar contours are unchanged. The pulmonary vascularity is not engorged. Minimal left basilar atelectasis is noted. No focal consolidation, pleural effusion or pneumothorax is present. Multilevel degenerative changes in the thoracic spine are again seen. | 52026476 | HISTORY: Weakness. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiographs ___ and ___. | Mild left basilar atelectasis. No congestive heart failure. |
13293211 | Mild cardiomegaly is noted. The aorta is diffusely calcified. Mild pulmonary edema is demonstrated with perihilar haziness and increased interstitial markings without pleural effusion or pneumothorax. Minimal patchy atelectasis seen in the lung bases. There is no focal consolidation. Hypertrophic changes are seen within the imaged thoracic spine. | 59829910 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with syncope TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph and chest CTA ___ | Mild pulmonary edema with bibasilar atelectasis |
13293211 | The cardiac silhouette size is borderline enlarged. Thoracic aorta is diffusely calcified. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is seen. Previously noted right peribronchial opacification has improved. There are multilevel degenerative changes in the thoracic spine. | 56384790 | HISTORY: Hypertension and cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
13293211 | There is cephalization and mild vascular congestion. The lungs are clear without focal opacity, pleural effusion or pneumothorax. The mediastinal contours are normal. The heart size is top normal. There is no free air beneath the right hemidiaphragm. | 57792075 | INDICATION: History: ___F with SOB and cough, hx of CHF pls eval for pulm edema vs pna // History: ___F with SOB and cough, hx of CHF pls eval for pulm edema vs pna TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | Mild pulmonary vascular congestion. |
13293211 | Heart size remains mildly enlarged. The aorta is diffusely calcified. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. The lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Degenerative changes are seen within the thoracic spine. | 56672074 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with chest pain TECHNIQUE: Portable upright AP view of the chest COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13293211 | Frontal and lateral views of the chest. The lungs are clear. There is no consolidation or effusion. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities identified. | 56363577 | HISTORY: ___-year-old female with chest pain and shortness of breath since this morning. COMPARISON: ___. | No acute cardiopulmonary process. |
13701625 | The lungs are hyperinflated but clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Tortuosity of the thoracic aorta is noted. No acute osseous abnormalities. | 56790493 | INDICATION: ___M with leukocytosis, ___ medical // PNA? TECHNIQUE: PA and lateral views the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13701625 | Inspiratory volumes are slightly lower. Allowing for this, the cardiomediastinal silhouette is unchanged. Aorta is again unfolded and mild prominence the hila is again noted. Again seen is minimal upper zone redistribution, without overt CHF. There is minimal subsegmental atelectasis at the left greater the right base. No focal infiltrate, focal consolidation, or gross effusion is identified. No pneumothorax detected. Severe right-greater-than-left glenohumeral arthritis again noted. | 58659434 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with worsening leukocytosis and cough // Evaluate for pneumonia prior studies indicated a history of HCC. COMPARISON: ___ at 23:17 | Inspiratory volumes slightly lower. No pneumonia detected. |
13701625 | 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. | 53830168 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with chest pain, hypertensive urgency. COMPARISON: ___ | No acute intrathoracic process. |
13701625 | Heart size is normal. There is mild tortuosity of the thoracic aorta. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is minimal atelectasis at the right base. Otherwise the lungs are clear. There is a possible small right pleural effusion. No evidence of pneumothorax. | 50770582 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with HCV cirrhosis and HCC s/p RFA, rule out PTX as complication // rule out PTX TECHNIQUE: Chest PA and lateral COMPARISON: None. | Minimal right basal atelectasis and small right pleural effusion with no evidence of pneumothorax. |
13701625 | Slight flattening of the diaphragms could reflect mild COPD. Slight distortion of the parenchymal markings in the right lung could also reflect emphysematous change. Allowing for this, the heart is at the upper limits of normal in size. The aorta is unfolded. No CHF, focal infiltrate, pleural effusion, or pneumothorax is detected. | 53421606 | INDICATION: ___-year-old male with cough. Evaluate for pneumonia TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: Chest CT from ___. | Probable background emphysematous change. Heart size at the upper limits of normal. No acute pulmonary process identified. |
13620129 | Portable semi-upright radiograph of the chest demonstrates hyperinflated lungs with prominent interstitial markings, which may be age related, or may represent small airways disease. The pulmonary arteries are prominent bilaterally, consistent with pulmonary arterial hypertension. The heart is mildly enlarged. There is no pneumothorax, consolidation or evidence of pulmonary edema. | 58855131 | INDICATION: History: ___F with hypoxia // eval for PNA TECHNIQUE: Portable chest x-ray. COMPARISON: None available. | No pneumonia. Enlarged pulmonary arteries consistent with pulmonary arterial hypertension. |
13365150 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen. | 53920002 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with chest pain s/p MVC // eval for trauma TECHNIQUE: Chest: Frontal and Lateral COMPARISON: None. | No acute cardiopulmonary process. |
13427662 | There lungs are well-expanded and clear of focal consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. | 55557093 | INDICATION: ___M with AF p/w dyspnea, orthostatic hypotension // ?acute process, infection TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13732920 | Mild to moderate cardiomegaly is present, increased in size compared to the previous study. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. There are minimal linear opacities in the lung bases compatible with atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Multiple clips are seen within the right upper abdomen. There are no acute osseous abnormalities. | 57173302 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Mild to moderate cardiomegaly, increased compared to the previous exam. Bibasilar atelectasis. |
13683341 | PA and lateral views of the chest provided. The hila are engorged and there is mild interstitial pulmonary edema. Trace pleural fluid along the fissural surfaces noted. Cardiomediastinal silhouette is stable. No pneumothorax is seen. No overt signs of pneumonia. | 56514080 | WET READ: ___ ___ ___ 3:36 PM Hilar congestion and mild interstitial edema with trace pleural effusions. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with cough, dyspnea, recent travel to ___ COMPARISON: Prior exam is dated ___ | Hilar congestion and mild interstitial edema with trace pleural effusions. |
13781808 | There is mild cardiomegaly. There is linear atelectasis or scarring at both lung bases. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. There is an old right clavicular fracture. | 57117520 | EXAMINATION: Chest radiograph INDICATION: ___-year-old man with left knee septic arthritis, preoperative chest radiograph. TECHNIQUE: AP and lateral view. COMPARISON: None available. | No radiographic evidence of pneumonia. |
13738282 | Frontal and lateral views of the chest were obtained. The patient is status post CABG with sternotomy wires and mediastinal clips that are intact and in similar position to ___. Right IJ central line terminates in the low svc. New left uppe zone ill-defined opacity may represent atelectasis, but infection or aspiration cannot be excluded in the appropriate clinical stetting. Bilateral pleural effusions, left greater than right are similar to prior. Cardiomediastinal silhouette is stable. | 55174024 | INDICATION: ___-year-old male status post CABG. Evaluate for pleural effusions. COMPARISONS: Multiple prior chest radiographs, most recently of ___. | Ill-defined left upper zone new opacity, compatible with atelectasis, although in the correct clinical setting, infection or aspiration cannot be excluded. |
13738282 | The lungs are well expanded and clear. There is no focal consolidation, effusion, pneumothorax. Median sternotomy wires are intact. Mediastinal vascular clips are in stable position. | 57097438 | INDICATION: Cough. COMPARISON: ___. | No acute cardiopulmonary process. |
13061429 | The lungs are hyperexpanded clear with flattening of the diaphragms consistent with COPD. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax. | 54671852 | HISTORY: History of cough. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Multiple chest radiographs the most recent on ___. | Hyperexpanded lungs and flattening of the diaphragms consistent with COPD. No evidence of acute cardiopulmonary process. |
13061429 | Mild hyperexpansion is compatible with COPD.There is no suspicious mass, focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. | 58077305 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with melanoma // h/o melanoma TECHNIQUE: PA and lateral view radiographs of the chest. COMPARISON: Prior chest radiographs dating back to___ template prior chest CT dated ___. | No evidence of intrathoracic malignancy. Mild hyperexpansion compatible with COPD. |
13831330 | A left-sided pectoral pacemaker is noted with leads terminating within the right atrium and ventricle, respectively, unchanged as compared to ___. The lungs demonstrate no focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is unchanged from the prior examination. | 57799508 | EXAMINATION: Chest radiographs. INDICATION: ___M with syncope, pacemaker // eval pacemaker position TECHNIQUE: Chest AP and lateral COMPARISON: ___. | Appropriately positioned dual lead left pectoral pacemaker. No acute intrathoracic process. |
13831330 | The lungs are clear. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities. | 52509762 | INDICATION: ___M with weakness, syncope // evaluate for acute process TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13717044 | Bilateral crescentic subdiaphragmatic lucencies correspond to moderate pneumoperitoneum, new since ___. The stomach is moderately distended. The lungs are well expanded and clear, without focal consolidation or pulmonary edema. No pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours, hila, and pleura are unremarkable and unchanged. | 52913112 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old man with an unexplained leukocytosis, with WBC count of 18K. Evaluate for pneumonia. COMPARISON: Chest radiograph dated ___. | Moderate pneumoperitoneum, new since ___, and is likely secondary to recent open colorectal surgery. No pneumonia or other acute cardiopulmonary process. |
13928577 | Portable frontal chest radiograph demonstrates low lung volumes. Minimal bibasilar opacities likely from atelectasis. The pulmonary vasculature is normal. There is no effusion or pneumothorax. The heart size is normal. The mediastinal contours are noted for a tortuous aorta with a somewhat dilated appearance of the ascending aorta, which is stable when compared with ___. | 50361815 | CLINICAL INFORMATION: ___-year-old female with hypoxia. Evaluate for pneumonia. COMPARISON: ___. | No acute chest pathology, with minimal bibasilar atelectasis. Stable appearance of a tortuous ascending aorta, which was previously mildly dilated at 3.7 cm in ___. |
13480476 | 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. | 53509143 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with trauma, laid down motorbike, p/w L shoulder pain, sob COMPARISON: None | No acute intrathoracic process. |
13087754 | Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The patient is status post median sternotomy and CABG. Evidence of DISH is seen along the spine. The aortic knob is calcified. There are degenerative changes at bilateral, right greater than left, acromioclavicular joints. | 54782563 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: A ___-year-old female with history of coronary artery disease, COPD, shortness of breath. COMPARISON: None. | No acute cardiopulmonary process. |
13854390 | Heart size is top-normal. The lungs are well-expanded and clear. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 59493082 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with productive cough, fever, and SOB, also has iliopsoas abscess and MSSA bacteremia // ?pneumonia TECHNIQUE: Single AP radiograph of the chest. COMPARISON: None. | No evidence of pneumonia. |
13609618 | Interstitial markings throughout both lungs appear minimally increased the prior examination on ___, particularly in the right lung. Lung volumes are somewhat low. Cardiomediastinal and hilar contours are within normal limits. Bilateral hilar enlargement is consistent with known adenopathy. Left-sided rib fractures are chronic and unchanged. No pneumothorax. | 52932119 | EXAMINATION: Chest radiograph INDICATION: History: ___F with chest pain with inspiration, low O2, sarcoid*** WARNING *** Multiple patients with same last name! // ? acute cardipulm process TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___ through ___ | Chronic fibrotic changes throughout both lungs with minimally overall increased opacity bilaterally, particularly in the right lung which could reflect infection. |
13609618 | Lung volumes are low. Again noted are diffuse, bilateral, coarse, interstitial opacities overall not significantly changed compared to the prior examination. However, there is increased opacification over lateral left lower lung, possibly parenchymal or related to tracking pleural effusion. Possible trace right pleural effusion. The heart is not well evaluated given the overall parenchymal opacification. Cardiomediastinal hilar silhouettes are grossly unchanged. Multiple bilateral rib deformities are not essentially unchanged. | 52701134 | WET READ: ___ ___ ___ 3:45 PM New opacities projecting over the lateral lower left lung may reflect a tracking pleural effusion, consolidation, or, given the peripheral location, pulmonary infarction from pulmonary embolus. To evaluate for effusion, lateral radiograph would be helpful. To evaluate for pulmonary embolus, chest CTA would be recommended. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT EXAMINATION: Portable AP chest radiograph INDICATION: ___F with dyspnea. TECHNIQUE: Chest PA and lateral COMPARISON: ___ PA and lateral chest radiographs | New opacities projecting over the lateral lower left lung may reflect a tracking pleural effusion, consolidation, or, given the peripheral location, pulmonary infarction from pulmonary embolus. To evaluate for effusion, lateral radiograph would be helpful. To evaluate for pulmonary embolus, chest CTA would be recommended. |
13609618 | Lung volumes are low. Diffuse coarse interstitial opacities bilaterally with superior hilar retraction and upper lobe architectural distortion appear similar, compatible with known sarcoidosis. The cardiac and mediastinal contours appear unchanged. Multiple calcified mediastinal and hilar lymph nodes are re- demonstrated. Bilateral hilar enlargement suggests underlying pulmonary arterial hypertension. No overt pulmonary edema is present. No new gross focal consolidation, pleural effusion or pneumothorax is seen. Multiple chronic bilateral rib deformities are re- demonstrated. Additionally, mild height loss of a vertebral body at the thoracolumbar junction is unchanged. Bilateral breast implants are again noted. | 55734692 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with sarcoid, hypoxia TECHNIQUE: PA and lateral views of the chest COMPARISON: Upright AP view the chest ___, CT chest ___ and ___ | No gross interval change in fibrosing chronic interstitial lung disease likely due to sarcoidosis. Bilateral hilar enlargement suggestive of pulmonary arterial hypertension. |
13609618 | Increased interstitial markings are seen throughout the lungs bilaterally but appear most severe overlying the upper lobes. Lung volumes are relatively low. There is no definite superimposed focal consolidation and the pattern appears grossly similar compared to prior. Cardiomediastinal silhouette is unchanged. Known adenopathy is better seen on prior CT scan. Posterior left rib fractures are noted. Left breast prosthesis is visualized. | 58172370 | INDICATION: ___F with hypoxia, exertional chest pain, exertional hypoxia, RLE pain + swelling // evaluate for PE, acute process TECHNIQUE: Single portable view of the chest. COMPARISON: Chest x-ray from ___ and chest CT from ___. | Chronic fibrotic changes in the lungs without definite acute cardiopulmonary process noting that subtle changes could easily be obscured. |
13041840 | Subtle opacity projects over the lateral left lung base may be artifactual or subtle consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 52731122 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with recurrent pna. Wheezing. // PNA? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Subtle opacity projecting over the lateral left lung base may be artifactual or subtle consolidation. |
13041840 | The cardiac, mediastinal and hilar contours appear stable. There is similar to increased increased patchy opacity along the lingula. A new vague opacity is present in the right upper lobe. Opacity also seems increased at the medial right lung base. There is no pleural effusion or pneumothorax. | 59804032 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Cough and fever. COMPARISON: Chest radiographs from ___ and CT of the chest from ___. TECHNIQUE: Chest, PA and lateral. | Findings suggesting pneumonia. Follow-up radiographs are suggested in ___ weeks in order to show resolution. |
13041840 | Re- demonstrated linear opacity extending laterally from the left hilum, most consistent with atelectasis and/or scarring. Patchy left base opacity has improved in the interval with small residua remaining. The right lung base also appears improved. Subtle reticular nodular opacities in the right mid lung, right perihilar region again seen, possibly related to small airways disease. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable. Prominence of the left hilum persists which could relate to underlying lymphadenopathy. | 55465241 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with dyspnea // Eval for PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Patchy bibasilar opacities improved in the interval with possible slight residual remaining. Persistent reticular nodular subtle opacity the right midlung, perihilar region could be due to small airways disease. Again seen prominent left hilum could relate to underlying lymphadenopathy. |
13041840 | PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. There is mild atelectasis in the left upper lobe. Right lower lobe atelectasis is minimal. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 53005505 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with asthma, pna history, p/w asthma sx x 1 month. // eval for pneumonia, other causes of respiratory wheeze COMPARISON: ___ | Mild left upper lobe and minimal right lower lobe atelectasis. |
13041840 | The cardiac silhouette is normal in size. The hilar and mediastinal contours are normal. A subtle opacity obscures the left cardiac border, could reflect an early infectious process. Lungs are otherwise clear. There is no pneumothorax or pleural effusion. | 54599238 | HISTORY: Cough. Question pneumonia. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs. | Subtle opacity overlying the left cardiac border could reflect an early infectious process in the appropriate clinical setting. Short interval followup is advised to document resolution. Discussed in person with Dr. ___ by ___ on ___ at 05:00 AM. |
13041840 | There are bibasilar opacities, more confluent at the right lung base silhouetting cardiac silhouette. There is no effusion. Superiorly the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. | 57353710 | WET READ: ___ ___ ___ 6:00 PM Bibasilar pneumonia, right greater than left. Follow-up is suggested after treatment especially in light of pneumonia on prior exam. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT INDICATION: ___F with wheezing, cough // acute process? TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Bibasilar pneumonia, right greater than left. Follow-up is suggested after treatment especially in light of pneumonia on prior exam. |
13041840 | Linear opacity extending laterally from the left hilum is likely atelectasis versus scarring. New compared to most recent exam are subtle areas opacity at the lung bases, likely in part within the right middle lobe. Bibasilar regions of bronchiectasis were better seen on prior CT scan. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 50814324 | INDICATION: ___F with recurrent pneumonia, dyspnea // pneumonia? TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___ chest x-ray and chest CT from ___. | Subtle bibasilar opacities worrisome for multifocal infection. Known bronchiectasis was better seen on prior CT scan. |
13616324 | Compared with the prior radiograph, lung volumes are slightly lower. The right IJ central line has been removed. The right lung is clear. No pneumothorax. Bilateral small pleural effusions are unchanged. Intact median sternotomy wires. | 56120195 | EXAMINATION: CHEST PA AND LATERAL INDICATION: ___ year old man s/p cabg with + click. Eval for broken wires. TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs from ___, ___, and ___. | Median sternotomy wires are intact. Small bilateral pleural effusions are unchanged. |
13837151 | The lungs are well inflated. There is no focal consolidation. No evidence of pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. | 51354883 | WET READ: ___ ___ ___ 6:17 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: ___F w/cough, please eval for PNA TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiograph from ___ | No acute cardiopulmonary process. |
13684752 | An ET tube terminates approximately 4 cm from the carina. A subtle opacity in the right mid lung is present and may represent pneumonia or aspiration. There is no dense consolidation. There is no pleural effusion. There is no evidence of pneumothorax, although evaluation is limited by the supine technique. The cardiomediastinal silhouette is unremarkable. Atherosclerotic calcifications are noted in the aortic arch. | 50364181 | INDICATION: Altered mental status. COMPARISONS: None. | Subtle opacity in the right mid lung may represent pneumonia or aspiration. |
13684752 | It appears that there are two successive radiographs presented for evaluation. The first is acquired at 7:09 a.m., the second at 7:12 a.m. An overlying trauma board obscures parts of the patient. The initial radiograph demonstrates a right main stem intubation. On the second radiograph, the ET tube has been retracted slightly but continues to reside in the right mainstem. Right-sided IJ terminates in appropriate position. Hyperlucent left hemithorax with deep sulcus suggests pneumothorax. Dense right-sided parenchymal opacities are probably a combination of atelectasis and aspiration; pneumonia should be considered as well. There is a right-sided pleural effusion. The heart size is normal. Aortic calcifications are noted. Multiple left-sided rib cage deformities worrisome for fractures are noted. | 54104178 | HISTORY: ___-year-old man with intubation. Post-arrest. COMPARISON: None. TECHNIQUE: Two frontal radiographs. | Probable large left-sided pneumothorax with multiple left-sided rib deformities. ET tube continues to reside in the right mainstem bronchus even status post retraction. Large right-sided parenchymal opacity consistent with a combination of atelectasis, aspiration and possibly pneumonia. Also small right-sided pleural effusion. Please correlate findings with the subsequent chest CT. By the time of review of this radiograph, a subsequent radiograph demonstrated ET tube above the carina and left sided chest tube. |
13684752 | The cardiac silhouette size is normal. The aorta is mildly tortuous and demonstrates atherosclerotic calcifications, unchanged. The hilar contours are unremarkable. New ill-defined opacity is noted in the right lung base which is concerning for an infectious process. No pleural effusion or pneumothorax is present. The pulmonary vascularity is normal. There are multilevel degenerative changes in the thoracic spine. Old right-sided rib fractures are again noted. | 51029269 | HISTORY: Urinary tract infection and high white count. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Patchy ill-defined opacity in the right lung base concerning for infection. |
13684752 | The OG tube terminates in the stomach. The ET tube is in appropriate position approximately 4 cm from the carina. Lung volumes remain low. Bilateral multifocal opacities which were seen on CT torso yesterday are not appreciably changed. The heart is top normal in the mediastinal silhouette is unchanged. The aorta is tortuous and calcified. There is no apical pneumothorax or large pleural effusion. | 59972811 | HISTORY: Respiratory failure status post intubation and NG tube placement. Evaluate for NG tube position. TECHNIQUE: Portable AP chest. COMPARISON: Chest radiograph ___. | Bilateral multifocal opacities as seen on CT torso yesterday are concerning for pneumonia or aspiration. OG tube terminates in the stomach. |
13245622 | PA and lateral views of the chest. The lungs are clear. Small left pleural effusion is identified. Osseous structures are unremarkable. | 59155824 | HISTORY: ___-year-old female with nonalcoholic steatohepatitis with hepatic encephalopathy presents with confusion. COMPARISON: ___. | Small left pleural effusion, otherwise unremarkable chest x-ray. |
13245622 | There are new diffuse alveolar opacities, most severe in the mid-to-lower lungs, right greater than left, which is concerning for new moderate-to-severe pulmonary edema. Relative increased density within the right lung apex is concerning for a concurrent new pneumonia. Retrocardiac opacity is unchanged and may continue to reflect pneumonia and/or atelectasis. A moderate left pleural effusion appears increased and is now large. Small right pleural effusion is likely. Cardiomediastinal and hilar contours are obscured by diffuse edema. | 50697742 | INDICATION: ___-year-old female with history of moderate aortic stenosis and cirrhosis, now with probable left lower lobe pneumonia. Assess for interval change. COMPARISON: Chest radiographs dating back to ___, most recent from ___. PORTABLE FRONTAL CHEST | New moderate-to-severe pulmonary edema Right apical consolidation is concerning for new pneumonia |
13245622 | Lungs are clear without confluent consolidation. A chronic moderate left pleural effusion appears similar in size compared to recent prior examination. Associated left lower lobe atelectasis is likely. There is no overt interstitial pulmonary edema. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax. | 53867980 | INDICATION: ___-year-old female with confusion COMPARISON: Chest radiograph from ___ PA AND LATERAL CHEST | Unchanged moderate left pleural effusion with probable associated atelectasis. No acute cardiopulmonary process. |
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