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13745673 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 57631700 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with chest pain // r/o intrathoracic problem TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. ___, MD ___=___ |
13745673 | There is no focal consolidation, pleural effusions or pneumothorax. Opacity at the left lung base is most likely due to a prominent pericardial fat pad with mild adjacent atelectasis. Heart size is within upper limits of normal. No acute osseous abnormalities identified. | 59808303 | EXAMINATION: Chest radiograph INDICATION: ___ year old woman with cough x 10 days. ? crackles at right base // evaluate for pneumonia/infiltrate TECHNIQUE: Chest radiograph PA and lateral COMPARISON: None available. | No evidence of pneumonia. |
13950758 | The heart is mild to moderately enlarged. The main pulmonary artery contour is also somewhat prominent which may suggest pulmonary arterial enlargement. Central pulmonary arteries are mildly prominent. The aortic arch is calcified. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are noted along the mid thoracic spine. | 55390735 | CHEST RADIOGRAPHS HISTORY: Atrial fibrillation. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | Mild-to-moderate cardiomegaly. Enlarged main pulmonary artery contour and prominence of central pulmonary arteries, which may reflect potentially pulmonary arterial hypertension. No evidence for congestive heart failure, however. |
13299397 | AP upright and lateral views of the chest provided. Clips along the left mediastinal border again noted. There is again noted to be mild elevation of left hemidiaphragm with mild left basal opacity likely atelectasis. No convincing evidence for pneumonia edema effusion or pneumothorax. Cardiomediastinal silhouette is stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. | 51186201 | EXAMINATION: CHEST (AP AND LAT) INDICATION: ___ year old man with EtOH, cough // eval for acute pathology COMPARISON: ___. | No acute findings. Left basal atelectasis appears chronic. |
13752054 | Semi-upright portable AP view of the chest. There is a right lower lobe consolidation and pleural effusion. There is also likely a component of atelectasis given evidence of volume loss. Severe cardiomegaly is present. Pulmonary vascularity is normal. There is no pneumothorax. There is a double-lumen left internal jugular hemodialysis catheter terminating within the right atrium. There are multiple left subclavian and axillary arterial stents. Median sternotomy wires are present with surgical clips projecting over the spine. There is an IVC filter which is incompletely imaged in the lower aspect of the radiograph. Bilateral severe degenerative changes of the shoulders are present with sclerosis of the left humeral head and near bone-on-bone appearance. | 53154527 | INDICATION: Evaluate position of central venous line. The patient has a history of ischemic heart disease, chronic renal failure, on hemodialysis, baseline right pleural effusion, and congestive heart failure. The patient is presenting from the nursing home with two days of intermittent chest pain. COMPARISON: None available. | Double-lumen central venous line terminates in the right atrium. Right lower lobe consolidation/atelectasis with right pleural effusion. Severe cardiomegaly. No evidence of decompensated congestive heart failure. |
13101361 | The heart is moderately enlarged. The main pulmonary artery contour is prominent. Central pulmonary arteries are enlarged and indistinct. Vascular engorgement is prominent along each hilum and there is also at hazy opacity of each lung in addition to interstitial prominence. | 57314948 | INDICATION: Chest pain. TECHNIQUE: Chest, portable AP upright. COMPARISON: ___. | Findings most consistent with mild to moderate pulmonary edema. |
13259676 | The NG tube is unchanged and in standard position. The ventilation of the right lung base is improved with reduced pleural effusion. Persist the left base consolidation with small pleural effusion. The pulmonary edema is reduced. There is no pneumthorax Cardiomegaly is stable | 52137169 | HISTORY: ___-year-old man with recent seizure and spiked fever, any intrathoracic process . COMPARISON: Exam is compared to chest x-ray of ___. | Improved right base ventilation with reduced pleural effusion. The consolidation at the left base with small pleural effusion is stable. |
13259676 | The NG tube terminates below the stomach with the tip likely in the antrum of the stomach. Incidentally noted is mild distention of the bowel consistent with ileus. Air is seen within the large colon. Only the bases of the lungs are visualized; however, there is evidence of moderate bilateral pulmonary edema as well as a small left pleural effusion and adjacent atelectasis. There is no evidence of a pneumoperitoneum. | 54877014 | INDICATION: History of seizures, please evaluate NG tube placement. COMPARISON: Multiple chest radiographs dated back to ___. TECHNIQUE: Single AP portable exam of the chest. | NG tube extends below the diaphragm with the tip likely in the antrum of the stomach. |
13259676 | Heart size is mildly enlarged. Mediastinal contour is unremarkable. The hilar contours are difficult to evaluate due to presence of widespread bilateral patchy consolidations compatible with multifocal pneumonia. There is no large pleural effusion or pneumothorax. | 59597163 | HISTORY: Respiratory failure. COMPARISON: None available. TECHNIQUE: Portable frontal chest radiograph, single view. | Patchy bilateral parenchymal opacities concerning for multifocal pneumonia. |
13600995 | The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. | 56471664 | INDICATION: ___M with fever // eval infiltrate TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13600995 | Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. 8 mm nodule in the upper left lung and 9 mm nodule in the left mid lung correspond to pulmonary nodules seen on prior CT. Other scattered nodules including a large nodule in the left lung base are not visualized on plain radiography. Lungs are otherwise clear without dense consolidation. Pleural surfaces are clear without effusion or pneumothorax. | 54677122 | WET READ: ___ ___ ___ 6:13 AM No evidence of pneumonia. Multiple pulmonary nodules are better assessed on recent prior CT exam. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History of metastatic esophageal cancer presenting with thoracic back pain, cough and fever. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: Chest CT ___. | No evidence of pneumonia. Multiple pulmonary nodules are better assessed on recent prior CT exam. |
13230225 | There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette, including moderate cardiomegaly, is unchanged. | 55443911 | INDICATION: ___ year old man with a flutter, chf, new dyspnea/hypoxia, evaluate for pulmonary edema. TECHNIQUE: Single frontal portable view radiograph of the chest. COMPARISON: Prior chest radiographs dated ___. | No acute cardiopulmonary process. |
13230225 | Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. There is no evidence of pulmonary edema or vascular congestion. The visualized upper abdomen is unremarkable. | 59414725 | INDICATION: Evaluate for CHF in a patient with a history of congestive heart failure, now with shortness of breath. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
13471471 | The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Cervical ribs are noted bilaterally. | 52438198 | INDICATION: ___F with cough // PNA? TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13852963 | Two frontal images of the chest demonstrate nasogastric tube with the tip above the GE junction. The tube will need to be advanced several centimeters in order for the tip and the side port to be within the stomach at least 10 cm. The lungs are well expanded. There is some basilar atelectasis noted, but otherwise the lungs are clear. There is no pneumothorax or pleural effusion. There is some tracheal deviation consistent with patient's history of multinodular goiter. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable. | 51858902 | INDICATION: ___-year-old female with new nasogastric tube placement. COMPARISON: Comparison is made with chest radiographs from ___ and thyroid ultrasound from ___. | Nasogastric tube with tip above the GE junction. Tube needs to be advanced at least 10 cm. Otherwise, normal chest radiograph. |
13852963 | There is no focal consolidation, pleural effusion, pneumothorax, or evidence of intrathoracic metastatic disease. Deviation of the trachea to the left is from known thyroid nodule. The cardiomediastinal silhouette is normal. There are no acute skeletal abnormalities. | 54715268 | INDICATION: ___-year-old woman with recurrent urothelial cancer status post nephrectomy, now dyspnea, check for lung masses for staging. COMPARISONS: CTA chest from ___. | No evidence of intrathoracic metastatic disease. |
13787729 | PA and lateral chest radiographs were obtained. Multiple non-displaced right rib fractures are similar in appearance. A right basilar pleural thickening is slightly increased. A right pleural effusion has increased from small to moderate. A left pleural effusion remains small. No new abnormal cardiac or mediastinal contours are noted. A tiny apical right pneumothorax is still apparent. Epidural catheter is new. | 50179459 | INDICATION: ___-year-old woman with right fourth through eleventh rib fractures. Evaluate for pulmonary contusion. COMPARISON: Chest radiograph and CT from ___. | Slight interval increase in the size of a small to moderate right pleural effusion. Stable appearance of multiple non-displaced right lateral rib fractures and tiny right apical pneumothorax. |
13787729 | PA and lateral views of the chest were obtained. The lungs appear clear bilaterally. The lungs are also hyperinflated with flattened diaphragms suggestive of underlying COPD. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette is normal. No bony abnormalities are seen. No displaced rib fractures are evident. | 53242574 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Mechanical fall, assess for intrathoracic injury. | No acute intrathoracic process. |
13780015 | The cardiomediastinal and hilar contours are within normal limits. Minimal calcification of the aortic knob is noted. The lungs are well expanded and clear, without consolidation, pulmonary edema, pleural effusion, or pneumothorax. | 56248476 | INDICATION: ___-year-old man with aortic stenosis, and history of remote smoking history, now with dyspnea on exertion. COMPARISON: None. PA AND LATERAL CHEST | No acute cardiopulmonary pathology. |
13637928 | Low lung volumes somewhat limit assessment. There is mild left basal atelectasis. Cardiomediastinal silhouette unchanged. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Bony structures are intact. Chronic left upper rib cage deformities unchanged. | 58320479 | WET READ: ___ ___ 6:18 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST RADIOGRAPHS INDICATION: ___F with recent fall, prior hx dCHF // eval ? occult infx, edema TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made chest radiographs from ___ and ___. | Mild basal atelectasis. Otherwise unremarkable. |
13582085 | The heart is mild-to-moderately enlarged. Evaluation of parenchymal detail is somewhat limited by soft tissue attenuation, but the lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are noted along the thoracic spine. | 59812330 | CHEST RADIOGRAPHS HISTORY: Cough and fever. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13582085 | The lungs are hyperinflated and clear of focal consolidation, pleural effusion or pneumothorax. The heart size is top normal in size. The mediastinal contours are normal. | 58521285 | INDICATION: ___F with chest pain // r/o pneumothorax TECHNIQUE: Frontal and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___, ___, ___ and ___. | No acute cardiopulmonary process. |
13582085 | PA and lateral views of the chest are provided. Lungs appear clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 52138643 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___ as well as a CTA chest from ___. CLINICAL HISTORY: Chest pressure, shortness of breath, assess for pneumonia. | No acute findings in the chest. |
13582085 | Moderate cardiomegaly, increased interstitial markings and new engorgement of the azygos, (which lies in an azygos fissure) is consistent with pulmonary edema. There is no pneumothorax. There are probably small bilateral pleural effusions. | 53232572 | INDICATION: Altered mental status and hypoxia. COMPARISONS: Multiple prior chest radiographs from ___ to ___. | Moderate pulmonary edema, cardiogenic. |
13582085 | PA and lateral views of the chest are provided demonstrates no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. There is no free air below the right hemidiaphragm. Mild anterior spurs are noted in the mid thoracic spine. | 51056059 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Cough, question pneumonia. | No sign of pneumonia. |
13582085 | Evaluation is limited due to patient body habitus. There are bibasilar opacities, right greater than left, which may be representative of small layering pleural effusions or overlying soft tissue structures. The lungs are otherwise without a focal consolidation. Mild cardiomegaly is stable. No acute fractures are identified. | 56087110 | HISTORY: Chest pain. COMPARISON: Multiple prior studies most recent chest radiograph from ___. | Evaluation is limited due to patient body habitus. There are bibasilar opacities, right greater than left, which may be representative of small layering pleural effusions or overlying soft tissue structures. Correlation may be obtained with a lateral radiograph. |
13582085 | The ET tube terminates at the level of the carina. The tip of the OG tube projects over the expected location of the stomach, however, the side port is most likely in the esophagus and should be advanced. A right subclavian central venous catheter terminates in the upper-to-mid SVC. Poor penetration somewhat limits evaluation; however, there is no significant change in pulmonary congestion and mild-to-moderate cardiomegaly. There is no evidence of pneumothorax. Small pleural effusions may be present, but are not evident on this single AP radiograph. | 54051421 | INDICATION: Patient with rhabdomyolysis who was just intubated. Please evaluate ET tube placement and OG tube placement. COMPARISON: Multiple prior radiographs of the chest, most recently this morning at 05:27. TECHNIQUE: Portable AP radiograph of the chest. | ET tube terminating at the level of the carina and should be withdrawn 3-4 cm. OG tube with its sideport in the esophagus, should be advanced to place all side ports safely in the stomach. Grossly unchanged pulmonary congestion and mild-to-moderate cardiomegaly. The above results were communicated via telephone by Dr. ___ to Dr. ___ ___ at 2:40 p.m. on ___, 20 minutes after discovery. |
13582085 | There is stable mild cardiomegaly. The hilar and mediastinal contours are stable. No focal consolidations concerning for infection are identified. There are small suspected bilateral pleural effusions. There are no pneumothoraces. The visualized osseous structures are unremarkable. | 51270654 | INDICATION: History of hypertension, COPD, presenting with chest pain. Rule out infectious or other acute process. COMPARISONS: Chest radiographs from ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest. | No focal consolidations concerning for infection. Suspected small bilateral pleural effusions. |
13582085 | Evaluation of pulmonary detail is somewhat limited, particularly on the AP view, by soft tissue attenuation. The lung volumes are low. The heart is mild to moderately enlarged. The mediastinal and hilar contours are unremarkable. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are present along the thoracic spine. | 57056414 | CHEST RADIOGRAPHS HISTORY: General malaise. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral. | Cardiomegaly. No evidence of acute disease. |
13582085 | The nasogastric tube has been removed. The remainder of the support lines and tubes are unchanged: A right internal jugular central venous catheter terminates in the mid SVC. The ET tube terminates 5 cm above the carina. The lung volumes are low. There are rapidly worsening bilateral lower lobe opacities with increased obscuration of both hemidiaphragms likely representing a combination of worsening atelectasis and pleural effusion. Underlying infectious consolidation cannot be excluded. Mild pulmonary congestion is also slightly worse. | 55624956 | CHEST RADIOGRAPH INDICATION: Intubation. Interval change? COMPARISON: Multiple prior radiographs of the chest, most recent of ___. TECHNIQUE: Portable AP semi-upright radiograph of the chest. | Rapidly worsening bilateral lower lobe opacities likely represent a combination of atelectasis and effusion. Differential diagnosis includes aspiration and infectious consolidation. Cardiomegaly and mild pulmonary congestion, slightly worse than yesterday |
13582085 | Chest, PA and lateral. There is minimal heterogeneous opacity in the right lower lobe, which is a chronic finding based on multiple prior studies. On the CTA it was felt to represent a combination of air trapping and atelectasis. The lungs are otherwise clear. The heart is minimally enlarged, also unchanged. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. | 52422840 | INDICATION: ___-year-old woman with bilateral lower extremity edema. Evaluate for pneumonia or fluid overload. COMPARISON: Chest radiograph from ___. CT angiogram of the chest from ___. | No evidence of pneumonia or decompensated heart failure. Heterogeneous opacity in the right lower lobe is a chronic abnormality. |
13942292 | A frontal upright view of the chest was obtained portably. Since ___, there is increased hazy bibasilar and perihilar opacification with Kerley B lines, azygous distention, and small pleural effusions, compatible with mild interstitial edema. The cardiac silhouette is probably unchanged allowing for differences in technique. No pneumothorax. The mediastinal silhouette is stable. Subclavian artery calcifications noted. | 54057922 | INDICATION: ___-year-old woman with dyspnea and bilateral crackles. COMPARISON: ___, ___, CT ___. | Mild interstitial pulmonary edema, new from ___. |
13942292 | Frontal and lateral views of the chest demonstrate hyperexpanded lungs without focal consolidation, pleural effusion or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. Chronic sternal fracture and compression deformities of multiple thoracic vertebral bodies appear longstanding. The hilar and mediastinal silhouettes are unchanged. Mild tortuosity of the descending aorta is noted. Heart size is normal. | 59048238 | INDICATION: Dyspnea and palpitations. COMPARISONS: Chest radiograph of ___ and CTA chest of ___. | No acute intrathoracic process. |
13942292 | The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There is probably a very small pleural effusion along the left, noting new blunting of the left frontal sulcus on the PA view. There is exaggerated kyphosis associated with a moderate anterior wedge compression deformity along the mid thoracic vertebral body, not significantly changed. The bones also appear demineralized, with multilevel compression deformities along the mid-to-lower thoracic spine, again not significantly changed. | 59184622 | CHEST RADIOGRAPHS HISTORY: Shortness of breath. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | Suspected trace left-sided pleural effusion; otherwise no significant change. |
13942292 | Compared to the earlier chest radiograph, no significant change. There is a persistent right-sided effusion and right basilar consolidation, with silhouette of the right heart. The left lung is grossly clear. The patient's head overlies and obscures the right upper zone. | 52091391 | WET READ: ___ ___ ___ 10:07 AM 1. Persistent right-sided effusion and consolidation, concerning for right middle and lower lobe collapse. 2. Please refer to the dedicated CT torso report of the same date for further findings. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F w/ hypoxia, pleural effusion. Evaluate for interval change. TECHNIQUE: Portable AP view of the chest. COMPARISON: Chest radiograph from earlier on the same date, ___, and ___. | Persistent right-sided effusion and consolidation, concerning for right middle and lower lobe collapse. Please refer to the dedicated CT torso report of the same date for further findings. |
13942292 | Lung volumes remain low, there is new hazy opacity at the right lung base, potentially reflecting a pleural effusion. No pneumothorax seen. No consolidation. No definite rib fractures. Unchanged mild cardiomegaly. No frank pulmonary edema. Atherosclerotic calcification aortic arch. | 57948800 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with PVD, CAD s/p CABG, afib s/p 2x DCCV on Coumadin, severe kyphosis presenting after a fall from standing onto her face and bilateral knees. Diuretics held, now with subjective dyspnea. // Please evaluate for pulmonary edema TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | Possible new small right pleural effusion. |
13942292 | PA and lateral views of the chest are provided. Slight coarsened appearance of the interstitial markings suggests underlying chronic interstitial lung disease. Small bilateral pleural effusions are present. There is likely bibasal atelectasis which could be compressive due to the effusions. Cardiomediastinal silhouette is stable. No pneumothorax. There is a significant chronic displaced sternal fracture, which is in overall unchanged configuration compared with a CT of the chest dated ___. Multiple compression deformities are also again noted within the thoracic spine, appearing stable from prior. | 54367513 | WET READ: ___ ___ ___ 5:21 PM Mild-moderate volume overload. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPH PERFORMED ON ___. COMPARISON: ___ and ___. CLINICAL HISTORY: Dyspnea, assess for infection. | Interstitial lung disease with small bilateral effusions and bibasal compressive atelectasis. Stable bony deformities. |
13327681 | Cardiomediastinal silhouette is normal. There is linear atelectasis at the right lung base. There is no focal lung consolidation. There is no pleural effusion or pneumothorax. | 59301175 | INDICATION: ___M with myalgias, fever, tachycardia, cough. COMPARISON: Chest radiograph ___. TECHNIQUE Portable view of the chest. | No evidence of pneumonia. |
13864291 | Cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Streaky opacities at the lung bases indicate minor, unchanged sites of scarring. Otherwise, the lungs appear clear. A nasogastric tube courses into the stomach and terminates to the right of midline. There is no free air. | 59996140 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Cough and leukocytosis. TECHNIQUE: Chest, AP portable upright. COMPARISON: ___. | No evidence of acute cardiopulmonary disease. Nasogastric tube terminating in the stomach. |
13864291 | Lower lung volumes seen on the current exam. Linear right basilar opacity is likely scarring. There is no effusion or confluent consolidation. Cardiomediastinal silhouette is enlarged similar to prior. Azygos fissure is again noted. No acute osseous abnormalities detected. | 51369401 | INDICATION: ___F with hx of osteoporosis, DM, HTN p/w w 2 weeks R arm/shoulder/neck pain // evidence of pancoast tumor or other apical mass? TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13864291 | Streaky retrocardiac opacity is most compatible with scarring versus atelectasis. Streaky right basilar atelectasis is also noted. Azygos fissure again seen. The lungs are clear of consolidation, effusion or consolidation. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. | 54529741 | INDICATION: ___F with chest pain // r/o acute process TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13864291 | Streaky retrocardiac opacity is likely atelectasis. Lungs are otherwise clear. Azygos fissure is again noted. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. | 54701564 | INDICATION: ___F cough/chest pain for the past 3 days, eval ?pna // TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13523894 | PA and lateral views of the chest demonstrate no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contour is normal. No free air below the right hemidiaphragm. Bony structures are intact. | 55942668 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Abdominal pain with appendicitis on outside hospital CT. Preop chest radiograph. | No acute findings in the chest. |
13953026 | The lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart size is normal. The aorta is noted to be somewhat tortuous. Mediastinal and hilar contours are otherwise normal. | 51407409 | HISTORY: Heartburn, evaluate for pneumonia or widened mediastinum. TECHNIQUE: Frontal and lateral chest radiographs were obtained. COMPARISON: None. | No radiographic evidence for acute cardiopulmonary process. |
13962649 | There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Elevation of the left hemidiaphragm is likely attributable to gaseous distention of the splenic flexure. Lumbar spinal fusion hardware is partially imaged. Right upper quadrant surgical clips suggest cholecystectomy | 56084493 | INDICATION: ___ year old man with COPD, evaluate for abnormalities TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs dated ___. | No evidence of acute cardiopulmonary process. Gaseous distention of the splenic flexure causes left hemidiaphragm elevation. |
13729424 | Heart size, mediastinal and hilar contours are normal. Lungs are grossly clear. Minimal blunting of left lateral costophrenic sulcus appears unchanged and probably reflects pleural thickening, although a small pleural effusion could produce a similar radiographic appearance. | 55732941 | PA AND LATERAL CHEST X-RAY, ___ COMPARISON: Chest radiograph, ___. | No evidence of pneumonia. Lateral left costophrenic angle blunting, which likely represents pleural thickening and less likely a small pleural effusion. |
13729424 | Both lungs are well inflated. The blunt left costophrenic angle previously described in prior study is again seen and unchanged. This likely reflects left lower lung subpleural parenchymal scarring seen on ___ chest CT. There is no effusion seen on lateral view. There are no consolidation, masses, nor pneumothorax. The cardiomediastinal silhouette and hilar silhouettes are normal.. There is no acute bony abnormality nor evidence of acute fracture. | 54757230 | INDICATION: ___ year old woman who underwent routine cxr for work TB screening, had a positive ppd, and a cxr which noted "mild left CP angle blunting which may be chronic" // Confirm findings, and next steps TECHNIQUE: Chest PA and lateral COMPARISON: ___ chest radiograph | When compared to ___ chest radiograph, the blunt left costophrenic angle is again seen. This likely reflects left lower lung subpleural parenchymal scarring seen on ___ chest CT. No pleural effusions seen on lateral view. This is a normal chest radiograph. |
13561991 | The heart appears borderline in size and a mildly bulging posterior contour suggestive of left atrial enlargement. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. | 55428606 | CHEST RADIOGRAPHS HISTORY: Cough and fever. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
13561991 | Patient is rotated to the left. The lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. | 59415176 | INDICATION: ___F with thyoid myxedema pschosis pls eval for pna or thyopird enlargement TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13186318 | Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is not engorged. Linear areas of scarring within the right middle and lower lobes compatible with prior regions of wedge resection are unchanged as is elevation of the right hemidiaphragm. Blunting of the right costophrenic angle appears to be chronic, likely related to scarring. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormality detected. | 56038824 | EXAMINATION: CHEST (PA AND LAT) INDICATION: Cough, chills TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13087686 | There is probable background hyperinflation. There is moderate to moderately severe cardiomegaly, with fullness of the hila, similar to the prior study. There is upper zone redistribution and interstitial edema, consistent with CHF. There is patchy opacity at both lung bases. No gross effusion. | 56324625 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man s/p STEMI with cough, crackles on exam // ? pulmonary edema COMPARISON: Chest x-ray from ___ on ___ | Cardiomegaly and interstitial edema. Left lower lobe collapse and/or consolidation. Patchy opacity right cardiophrenic region, similar to the prior film. This likely reflects atelectasis, been early infectious infiltrate would be difficult to exclude. |
13345152 | 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. | 51480571 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with stroke like symptoms, evidence of pneumonia COMPARISON: None | No acute intrathoracic process. |
13020117 | The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. The upper abdomen is unremarkable. | 52778996 | EXAMINATION: Chest radiograph. INDICATION: ___M with shortness of breath. TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
13650934 | The heart is mildly enlarged, not significantly changed from the prior study, allowing for AP technique. Intact median sternotomy wires, mediastinal clips, left chest wall pacemaker device with leads terminating in the right atrium and right ventricle, and right axillary vascular clips are unchanged compared to the prior. The lungs are relatively well expanded and clear. No large pleural effusion, overt pulmonary edema, or focal airspace opacity is identified. There is no pneumothorax. | 50606112 | EXAMINATION: CHEST RADIOGRAPH ___ INDICATION: History: ___F with dyspnea fever // Pna TECHNIQUE: Chest AP and lateral COMPARISON: Comparison is made to chest radiographs from ___. | Stable cardiomegaly. No evidence of pneumonia. |
13650934 | PA and lateral views of the chest. The lungs are clear without consolidation, effusion, or pulmonary vascular congestion. Left chest wall dual lead pacing device seen with the tips in the right atrium and right ventricular apex. Median sternotomy wires and mediastinal clips are again seen. Cardiomediastinal silhouette unchanged noting mild cardiomegaly. No acute osseous abnormalities. Surgical clips project over the right axilla. | 59442005 | HISTORY: ___-year-old female with cough and altered mental status. COMPARISON: ___. | No acute cardiopulmonary process. |
13650934 | A dual-lead pacemaker/ICD device with leads terminating in the right atrium and ventricle, respectively, appears unchanged. The patient is also status post coronary artery bypass graft surgery. The heart is mildly enlarged, as before. The lungs appear clear. There is no pleural effusion or pneumothorax. | 50671503 | CHEST RADIOGRAPH HISTORY: Cough. COMPARISONS: ___. TECHNIQUE: Chest, AP upright. | No evidence of acute disease. |
13650934 | A left pectoral pacemaker is present with the leads in unchanged position in the right atrium and right ventricle. Sternal wires are intact. Mediastinal clips are unchanged. The is very mild pulmonary edema. There is no consolidation, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart is mildly enlarged, and unchanged. | 55389052 | INDICATION: Syncope with a fall. Evaluate for pneumonia. COMPARISONS: Chest radiograph from ___. CT of the chest from ___. TECHNIQUE: A single AP upright view of the chest was obtained. | Very mild pulmonary edema. No evidence of pneumonia. |
13650934 | PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding AP portable chest examination of ___. Marked cardiomegaly and status post sternotomy with evidence of bypass surgery as before. In the interval, the patient has received a permanent pacer located in left anterior axillary position. Connection exists with two intracavitary electrodes, one of which terminates in a position compatible with the right atrial appendage, the second lead reaches the apical portion of the right ventricle. The patient was unable to elevate her arms for the lateral view, but still well penetrated image allows exclusion of any significant pleural effusion in the posterior pleural sinuses. The pulmonary vasculature demonstrates an upper zone redistribution pattern, but there is no evidence of interstitial or alveolar edema. No acute parenchymal infiltrates can be seen. | 57407831 | TYPE OF EXAMINATION: Chest, PA and lateral. INDICATION: ___-year-old female patient with complete heart block, status post dual-chamber pacemaker via left cephalic and axillary approach. Evaluate lead position. | Permanent pacer placement with two intracavitary electrodes in appropriate position in the right atrium and the right ventricle. Stable cardiomegaly. No evidence of pneumothorax. |
13264243 | Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. Hilar and mediastinal silhouettes are unchanged. There heart size is top normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. | 51287290 | INDICATION: Assess for pneumonia or pulmonary edema, patient with crackles. COMPARISONS: ___. | No evidence of acute cardiopulmonary process. |
13264243 | Lung volumes are low. The heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are similar. There is no pulmonary vascular congestion, focal consolidation or pneumothorax. No acute osseous abnormalities seen. Gaseous distention of the stomach and colonic loops of bowel in the left upper quadrant are noted. Degenerative changes of the left glenohumeral joint with osteophyte formation and joint space narrowing is present. | 59837502 | HISTORY: Cough and shortness of breath. TECHNIQUE: Upright AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
13423238 | Dual lead left-sided pacer device is stable in position. Patient is status post median sternotomy. There is a small left pleural effusion with overlying atelectasis. The cardiac and mediastinal silhouettes are unremarkable. | 55907448 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with cough // acute rpcoess? TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Small left pleural effusions with overlying atelectasis. Persistent cardiomegaly. |
13423238 | There are bilateral pleural effusions, left greater than right with slight interval enlargement on the left compared to prior. There is adjacent atelectasis particularly at the left lung base. Superiorly, lungs are clear. Cardiomediastinal silhouette is stable. Left chest wall dual lead pacing device is again noted. No acute osseous abnormalities. | 55795567 | INDICATION: ___F with pna earlier now w/ worsening sob // eval for worsening pna TECHNIQUE: Frontal and lateral views the chest. COMPARISON: ___. | Left-greater-than-right pleural effusions slightly enlarged on the left when compared to prior. Adjacent left basilar atelectasis noting that infection would be difficult to entirely exclude. |
13423238 | Left pectoral pacemaker in its 2 leads are in unchanged positions. Right internal jugular venous catheter terminates at the level of low SVC. There is no pneumothorax or large pleural effusion. Lung volume is low. Mild bibasilar opacities are likely atelectasis. Cardiomegaly is similar to before. | 56737426 | INDICATION: History: ___F with hypotension, RIJ CVL // eval RIJ TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | Right internal jugular venous catheter terminates at the level of low SVC. |
13423238 | Left pectoral pacemaker and its 2 leads are in unchanged positions. Coarse interstitial markings likely reflect interstitial lung disease. There is no lung consolidation or large pleural effusion. Moderate cardiomegaly is unchanged. A sternotomy wire is intact | 56137857 | INDICATION: History: ___F with R/o infectious process // R/o infectious process TECHNIQUE: Frontal view of the chest COMPARISON: Chest radiograph ___ | No radiographic evidence of pneumonia. |
13633818 | Ccardiomediastinal silhouette and hilar contours are normal. Lungs are clear. A right port is unchanged in position with the tip projecting over the upper SVC. There is no pleural effusion or pneumothorax. | 58609262 | HISTORY: Asthma with worsening shortness of breath. TECHNIQUE: PA and lateral chest radiograph, 2 views. COMPARISON: ___. | No evidence of acute cardiopulmonary process. |
13633818 | Lateral view is limited due to patient motion. The right-sided Port-A-Cath tip terminates in the upper SVC. Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. | 55215774 | INDICATION: Shortness of breath, cough. COMPARISON: ___. TECHNIQUE: PA and lateral views of the chest. | No acute cardiopulmonary process. |
13538980 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Slight degenerative changes are similar along the thoracic spine. There has been no significant change. | 52160314 | CHEST RADIOGRAPHS HISTORY: Elevated white blood cell count and fatigue. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13538980 | 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. | 53355706 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with dizziness, concern for stroke TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13570371 | The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. A nipple ring is noted on the left side. Bony structures are unremarkable. | 50282739 | CHEST RADIOGRAPHS HISTORY: Chest pain after motor vehicle collision. Question fracture or pneumothorax. COMPARISONS: None. TECHNIQUE: Chest, PA and lateral. | No evidence of injury. |
13493899 | There is a tortuous and calcified thoracic aorta. The cardiac silhouette is top-normal in size, possibly mildly enlarged. The bilateral hila are unremarkable. Diffuse interstitial prominence likely relates to bronchovascular crowding in the setting of low lung volumes and a sub-optimal inspiratory effort. There is no focal lung consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion. | 53209198 | WET READ: ___ ___ ___ 4:29 PM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: PA and lateral chest x-ray. INDICATION: A ___-year-old woman with fever and cough, evaluate for infiltrate. TECHNIQUE: PA and lateral projections, upright positioning. COMPARISON: Chest x-ray ___. | No acute cardiopulmonary process. |
13154769 | 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. There is DISH. There are surgical clips overlying the right anterior chest wall, secondary to prior partial mastectomy. | 56298081 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with RUQ pain // eval for pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13154769 | AP single view of the chest has been obtained with patient in upright position. The heart size is within normal limits. No configurational abnormality is identified. Unremarkable appearance of thoracic aorta. No mediastinal abnormalities are noted. The pulmonary vasculature not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral pleural sinuses are free. No pneumothorax in apical area. Skeletal structures grossly within normal limits. Our records do not include a previous chest examination available for comparison. | 56719370 | TYPE OF EXAMINATION: CHEST, AP PORTABLE SINGLE VIEW. INDICATION: ___-year-old female patient with new diabetes, diagnosis presenting with HHS. Evaluate for pneumonia. | Chest findings within normal limits as seen on single view AP chest examination. Thus, no evidence of pneumonia. |
13154769 | PA and lateral views of the chest were obtained. The lungs are clear bilaterally with no evidence of focal consolidation or congestive heart failure. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There are hypertrophic changes in the spine. Otherwise, there are no bony abnormalities. There is no free air below the right hemidiaphragm. | 57905848 | INDICATION: Evaluation for acute process in a ___-year-old female with chest pain and dyspnea. COMPARISON: Chest radiograph performed ___. | No acute cardiopulmonary process. |
13192224 | A portable semi-upright AP radiograph of the chest demonstrates low lung volumes. The lungs are clear. There is no pneumothorax or pleural effusion. The hilar and cardiomediastinal contours are normal. The pulmonary vascularity is normal. | 56804671 | HISTORY: ___-year-old man with history of cerebral palsy, mental retardation, now presenting with altered mental status and pain of unclear etiology. Evaluate for pneumonia. COMPARISON: Chest radiograph from ___. | No evidence of pneumonia. |
13192224 | Patient positioning obscure sevaluation of the lung apices. A new nasogastric tube terminates in the stomach. There is no significant pleural effusion or pneumothorax. Lung volumes remain low. There is increased right lower lobe opacity, with air bronchograms. Heart size is normal. | 58011536 | INDICATION: ___-year-old male with nasogastric tube placement for medications. COMPARISON: ___. CHEST, AP | Nasogastric tube in standard position. Apparent right lower lobe opacity could represent aspiration. |
13192224 | Cardiomediastinal silhouette is borderline enlarged and unchanged. There is mild retrocardiac left lung base atelectasis. Right IJ line terminates at mid SVC. NG tube terminates in the stomach. Trachea outline is unremarkable. Bowel gas is noted under right hemidiaphragm. | 50979476 | INDICATION: ___ year old man with seizures and aspiration pna, not intubated // interval change, ? of something projecting over the patient's trachea EXAMINATION: CHEST (PORTABLE AP) TECHNIQUE: Portable Chest radiograph, frontal view COMPARISON: Chest radiograph ___ | Trachea is unremarkable. No notable interval change compared to ___. |
13192224 | Right internal jugular central venous catheter is new, terminating in the proximal right atrium. No large pneumothorax is detected on this supine exam. There are low lung volumes with patchy bibasilar opacities likely reflective of atelectasis. Cardiac and mediastinal contours are otherwise unchanged allowing for patient rotation. Assessment of the left apex is limited as it is obscured by the patient's chin and neck soft tissues. No large pleural effusion is demonstrated. | 50845430 | HISTORY: Sepsis. Cnetral line placement. TECHNIQUE: Supine AP view of the chest. COMPARISON: ___ at 11:47. | Right internal jugular central venous catheter tip in the proximal right atrium. No large pneumothorax seen on this exam. |
13192224 | NG tube has been advanced with the last side port now past the GE junction. Low lung volumes remain. Cardiac size is stable. No effusion, pneumothorax or infection. | 50980210 | HISTORY: NG tube placement. COMPARISON: ___ at 14:58. TECHNIQUE: Single portable view of the chest. | Advanced NG tube now terminating in the stomach. |
13192224 | The patient is rotated significantly to the left. The left costophrenic angle is not fully included on the image. There is patchy right basilar opacity which could be due to aspiration or infection. There is also patchy left basilar opacity which could be due to atelectasis, although aspiration at that location is not excluded. No large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. | 51421334 | EXAM: Chest, single frontal view. CLINICAL INFORMATION: ___-year-old with chest pain, seizure. COMPARISON: ___. | The patient is markedly rotated to the left mid, makes the evaluation suboptimal. Given this, patchy bibasilar opacities, right greater than left, aspiration or infection not excluded. |
13192224 | Lung volumes are low. Opacity in the left retrocardiac region may be atelectasis or aspiration. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged. The patient remains rotated to the left. | 59794081 | INDICATION: History of mental retardation, seizure disorder, increased seizure frequency x1 day, evaluate for pneumonia. COMPARISONS: Multiple prior studies, most recently from ___. | Low lung volumes, with retrocardiac opacity which may represent atlectasis or aspiration. |
13192224 | The newly placed Dobbhoff tube terminates in the gastric fundus. The patient's chin and overlying soft tissues partially obscures the left apex. The right apex has been excluded from the field of view. The visualized portions of the lungs are clear. The heart and mediastinum are magnified by the projection. The upper abdomen is unremarkable. | 51538542 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with history of developmental delay, seizure disorder, aspiration, now s/p dobhoff tube replacement. // please evaluate NGT TECHNIQUE: Portable AP review. COMPARISON: ___. | Newly placed Dobbhoff tube terminates in the gastric fundus. Clear upper lungs. |
13192224 | Endotracheal tube terminates 3.5 cm above the carina. Enteric tube descends below the hemidiaphragm and terminates in the region stomach. Slightly low lung volumes. Bibasilar opacities appear increased from the prior exam are probably due to aspiration or developing pneumonia. No pneumothorax. No large pleural effusion. | 59351062 | EXAMINATION: Chest radiograph INDICATION: History: ___M with s/p intubation, resp distress // ett and ogt placement TECHNIQUE: Portable AP view COMPARISON: Chest radiograph on ___ | New bibasilar pneumonia or aspiration. Endotracheal tube terminates 3.5 cm above the carina. No pneumothorax. |
13192224 | Exam is limited with patient's face overlying the left lung apex and relatively low lung volumes. Where seen, the lungs are clear. There is no effusion or large consolidation. Cardiomediastinal silhouette is within normal limits. Of note, the colon is seen projecting below the right hemidiaphragm. | 55572558 | INDICATION: ___M with hypothermia, cough, concern for pna // eval pna TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13192224 | NG tube terminates in the stomach however the last side port is above the GE junction. Low lung volumes accentuate the pulmonary vasculature however no pneumonia is present. No effusions pneumothorax or pulmonary edema. | 53127929 | HISTORY: Cerebral palsy. New NG tube. COMPARISON: ___. | NG tube with the last side port above the GE junction. This should be advanced for better positioning prior to feeding. Discussed with ___, ___ ___ at 3:49 pm via telephone - ___ |
13192224 | The lung volumes are low. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Opacification lying posterior to the left hemidiaphragm is non-specific; noting low lung volumes, opacity could potentially be seen with atelectasis, but may reflect bronchopneumonia, best seen on the lateral view. | 52155616 | CHEST RADIOGRAPHS HISTORY: Cough. Question pneumonia. COMPARISONS: ___. TECHNIQUE: Chest, AP and lateral. | Left posterior basilar opacity, possibly pneumonia. |
13192224 | Two portable frontal chest radiographs were obtained. A nasoenteric tube coils once in the fundus of the stomach and extends inferiorly. The right internal jugular catheter tip is at the cavoatrial junction. Lung volumes are low which accentuates the pulmonary vasculature. No new consolidation, effusion, or pneumothorax is present. | 55267873 | INDICATION: ___-year-old man with hypothermia, altered mental status, status post 3-cm retraction of nasogastric tube. COMPARISON: 11:45 this morning. | Nasoenteric tube projects over the expected position of the stomach. |
13192224 | AP portable upright view of the chest. There has been interval placement of a right IJ central venous catheter with its tip in the lower SVC. In the interval, there has been development of bilateral mid to lower lung opacities concerning for aspiration given rapid development and history seizure. Cardiomediastinal silhouette is unchanged. No definite bony injury. | 58741077 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with seizures COMPARISON: Prior exam is dated ___. | Right IJ central venous catheter appears well positioned. Bilateral mid to lower lung opacities concerning for aspiration. |
13192224 | Low lung volumes accentuate heart size. Compared with most recent prior radiograph the retrocardiac opacity has increased. Stable mediastinal contours. No pleural effusion or pneumothorax. | 59760024 | INDICATION: Group-housed man with "bronchitis" per providers, UTI on labs, here with persistent cough. Evaluate for pneumonitis, pneumonia, aspiration (NG tube attempted with tubes suspected intratracheal/mainstem removed immediately but complicated by small hemoptysis; patient coughing since). COMPARISON: ___. | Retrocardiac opacity could represent atelectasis, aspiration or pneumonia. |
13192224 | A frontal supine view of the chest was obtained portably. Low lung volumes result in bronchovascular crowding. Right basilar linear opacity may represent atelectasis or pneumonia. The remainder of the lungs is clear. No pneumothorax or pleural effusion. Heart size is normal allowing for patient position and technique. Mediastinal silhouette and hilar contours are within normal limits. | 51644122 | WET READ: ___ ___ 6:31 AM Right basilar atelectasis or pneumonia. If further evaluation is needed, consider conventional PA and lateral radiographs in radiology. No effusion. ______________________________________________________________________________ FINAL REPORT INDICATION: Hypothermia with seizure. COMPARISON: No relevant comparisons available. | Right basilar atelectasis or pneumonia. If further evaluation is needed, consider conventional PA and lateral radiographs in radiology. No effusion. |
13192224 | PA and lateral views of the chest provided. Patient's chin projects over the left lung apex limits assessment. Streaky lower lung opacities are concerning for aspiration. Upper lungs are well aerated. Cardiomediastinal silhouette stable. No acute osseous abnormality. | 55755736 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with hypothermia, concern for aspiration // r/o pna COMPARISON: CT chest from ___. | Streaky bibasilar opacities which could reflect aspiration. |
13192224 | A nasogastric tube has been advanced since the prior exam and now folds back on itself in the fundus of the stomach before extending inferiorly below the field of view. Right internal jugular central line tip terminates at the cavoatrial junction. Lung volumes are low. There is no focal consolidation, effusion, or pneumothorax. | 58344349 | INDICATION: ___-year-old man with new NG tube. COMPARISONS: ___ through ___. | Nasogastric tube in the stomach The preliminary impression that the tube could have folded back on itself in the gastro-esophageal junction was communicated with Dr. ___ at 2 p.m by phone at ___. After subsequent confirmatory radiograph, final positioning was communicated via ___ at 3 pm. |
13192224 | An endotracheal tube ends approximately 4 cm from the carina. An enteric tube courses below the level of the diaphragm and off the inferior aspect of the film. A right IJ line ends in the low SVC. The heart size is within normal limits. Increasing ill-defined opacities are noted within the lung bases, more so on the right, along with perihilar haziness and vascular indistinctness. No pneumothorax is present. | 54776724 | WET READ: ___ ___ ___ 3:25 PM Increased opacities are significantly increased in comparison to multiple prior examinations from the same date, concerning for aspiration or edema. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph. INDICATION: History: ___M with AMS s/p intubation // eval ETT placement TECHNIQUE: Single AP view. COMPARISON: Chest radiograph ___ 13:21. | Endotracheal and enteric tubes in standard positions. Worsening ill-defined opacities in the lung bases, more so on the right. While this may reflect aspiration pneumonia, an element of asymmetric pulmonary edema is also likely present given rapid interval worsening. |
13192224 | Relatively low lung volumes are seen. There is a streaky left basilar opacity. Elsewhere, lungs are clear. Cardiomediastinal silhouette is within normal limits given rotation to the left. No acute osseous abnormalities. | 50275287 | WET READ: ___ ___ ___ 12:58 PM Left basilar opacity potentially atelectasis although infection cannot be excluded. Consider PA and lateral if patient is amenable and if desired. ______________________________________________________________________________ FINAL REPORT INDICATION: ___M with siezure // PNA? TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | Left basilar opacity potentially atelectasis although infection cannot be excluded. Consider PA and lateral if patient is amenable and if desired. |
13192224 | Frontal view of the chest demonstrates low lung volumes. The mediastinal, pleural and pulmonary structures are unchanged. There is no consolidation, pneumothorax or definite pleural effusion. Again noted is interposition of the colon between the right hemidiaphragm and liver. | 58300460 | INDICATION: Mental status changes, evaluate for pneumonia. COMPARISON: ___. | No acute intrathoracic process within the limitations of this study. |
13192224 | Portable semi-upright radiograph demonstrates a nasogastric tube ending in the stomach with the last side port just below the GE junction. There is a normal bowel gas pattern without evidence of ileus or obstruction. Visualized lung bases are clear. The visualized portion of the cardiomediastinal contours are unremarkable. | 51094248 | INDICATION: ___ year old man with NGT // NGT placement TECHNIQUE: Portable radiograph. COMPARISON: Multiple prior radiographs the chest ___ through ___. . | Nasogastric tube ends in the stomach with the last side port just below the GE junction. |
13192224 | Endotracheal tube terminates 3.3 cm above the carina. Right internal jugular central venous catheter terminates in the proximal right atrium. Enteric tube descends below the field of view. Persistent bibasilar opacities suggest aspiration. No other significant change. No pneumothorax. | 58152036 | EXAMINATION: Chest radiographs INDICATION: History: ___M with s/p RIJ // cvl placement TECHNIQUE: Portable AP view of the chest COMPARISON: Prior radiograph on ___ at 00:16 | Lines and tubes as above. Persistent bibasilar consolidation due to aspiration atelectasis. No pneumothorax. |
13192224 | There relatively low lung volumes. No definite focal space is seen. There is no pleural effusion or pneumothorax. Cardiac mediastinal silhouettes are stable. Of note, the patient is rotated to the left. | 50254061 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___M with hypoxia // acuteprocess TECHNIQUE: Single frontal view of the chest COMPARISON: ___ | Patient rotated to the left. Relatively low lung volumes without definite focal consolidation. |
13192224 | Exam is limited secondary to patient positioning and low lung volumes. Patient's the face overlies the lung apices more so on the left. The lungs are grossly clear of confluent consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Colonic loops noted in the right upper quadrant. No acute osseous abnormalities identified. | 53900058 | INDICATION: ___M with altered mental status // ? acute intrathoracic process TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13192224 | Low lung volumes are relatively unchanged over multiple prior studies. There is no new focal opacity suggestive of pneumonia. Minimal blunting of the left costophrenic angle is likely due to overlying soft tissues. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal contours are normal. There is no acute osseous abnormality. | 50737922 | CLINICAL INDICATION: Altered mental status and decreased breath sounds at the left base. Evaluation for pneumonia. COMPARISON: Multiple chest radiographs, the most recent of ___. PORTABLE AP FRONTAL VIEW OF THE | Low lung volumes with no new opacities suggestive of pneumonia. |
13192224 | Single AP upright portable view of the chest was obtained. Per the radiology technologist, unable to move or lift patient's head any higher. The patient's chin partially obscures the left lung apex. There are low lung volumes with minimal overlying atelectasis without definite focal consolidation. No large pleural effusion. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 54215339 | EXAM: Chest, AP upright portable view. CLINICAL INFORMATION: Chest pain, mental retardation, epilepsy with decreased responsiveness. COMPARISON: ___. | Low lung volumes and patient's chin partially obscures the left lung apex. Otherwise, no definite focal consolidation to suggest pneumonia. |
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