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13410910 | As compared to prior chest radiograph from ___, intra-aortic balloon pump has been repositioned, now proximal to the left main stem bronchus. The Swan-Ganz catheter is projecting in the right pulmonary artery, the device should be pulled back by approximately 3 cm. ET tube terminates 4 cm above the carina. Lung volumes remain low. Slight blunting of the left hemidiaphragm could be attributed to volume loss and a small effusion. Opacification of the right lung base could reflect atelectasis, however, in the appropriate clinical setting, pneumonia should also be considered. | 56162534 | INDICATION: ___-year-old female patient with acute MR with IABP in place. Study requested for evaluation of pneumonia and line/balloon placement. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: Portable chest radiograph. | Right lower lung opacity which could be related to atelectasis; however, in the proper clinical setting, pneumonia should also be considered. Swan-Ganz catheter projects in the right pulmonary artery, withdrawal of approximately 3 cm is recommended. These findings were discussed with ___ by Dr. ___ ___ telephone on ___ at 10:37 AM, time of discovery. |
13410910 | ET tube ends 2.4 cm above the carina. Right-sided Swan-Ganz is in right interlobular artery and should not be advanced further. For safe positioning, it could be pulled back 2-3 cm. Intra-aortic balloon pump ends 3.4 cm below the aortic knob, which is adequate. Bibasilar consolidations, left more than right, is unchanged with probable small left pleural effusion. There is no pneumothorax. | 56361394 | PORTABLE AP CHEST X-RAY INDICATION: Patient with cardiogenic shock, intra-aortic balloon pump. COMPARISON: ___. | ET tube, NG tube, and intra-aortic balloon pump are in adequate position. Right-sided Swan-Ganz could be pulled back 2-3 cm. |
13410910 | Endotracheal tube now terminates 6 cm from the carina. Swan-Ganz catheter demonstrates an abrupt angulation at the right ventricle and its tip terminates at the right ventricular outflow tract. The heart is enlarged. There is mild pulmonary vascular congestion. There is improving airspace opacity of the right lower lung, which likely represents improving asymmetric edema. However, there is worsening of the left retrocardiac opacity which may represent a combination of atelectasis and effusion. No new focal consolidations are identified. There is no pneumothorax. | 54007762 | INDICATION: ___-year-old female patient status post MVR, TVR, MAZE. Study requested for evaluation of pulmonary edema. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: Portable supine AP chest radiograph. | Swan-Ganz catheter demonstrates abrupt angulation within the right ventricle, its tip terminates at the right ventricular outflow tract. Improving asymmetric edema on the right. Worsening left retrocardiac opacity, which may represent a combination of atelectasis and effusion. |
13410910 | As compared to prior chest radiograph from ___, there has been interval removal of an enteric tube, left PICC line and left IJ venous catheter. Right lower lung atelectasis has improved. Small left pleural effusion persists. There are no new focal consolidations. There is no pneumothorax. Sternotomy wires are intact. | 58700526 | INDICATION: ___-year-old female patient with MVR. Study requested to rule out infection, effusion. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: AP and lateral chest radiographs. | Improved right lower lung atelectasis with small left pleural effusion, no new focal consolidations. |
13410910 | Endotracheal tube terminates approximately 5 cm above the carina. An intra-aortic balloon pump tip terminates low, approximately 3.0 cm below the left main bronchus level. Lung volumes are low, but no consolidation or pneumothorax is seen. Widening of the cardiomediastinal silhouette likely relates to the low lung volumes. Mild aortic knob calcifications are present. | 50597874 | INDICATION: ___-year-old woman with circulatory/respiratory failure in EP lab. COMPARISON: None available. PORTABLE SUPINE AP CHEST | Low lung volumes with resultant mild cardiomediastinal widening. IABP terminates low, with tip 3 cm below the left main bronchus. |
13410910 | The patient is status post median sternotomy and tricuspid and mitral valve replacements. Heart size remains mildly enlarged. Mediastinal contours are unchanged. There is no pulmonary edema. Left basilar consolidative opacity is similar compared to the prior study with a small left pleural effusion, unchanged. Patchy right basilar opacity is new, though no right-sided pleural effusion is demonstrated. There is no pneumothorax. Left PICC tip terminates in the SVC. Clips are noted in the right upper quadrant the abdomen, likely due to prior cholecystectomy. | 54342802 | HISTORY: Recent pneumonia. TECHNIQUE: AP and lateral views of the chest. COMPARISON: ___. | Persistent left basilar opacity concerning for pneumonia and small left pleural effusion. New right basilar opacity could reflect pneumonia or aspiration. |
13415410 | There is streaky density in the right lung and at the left base consistent with scarring and or subsegmental atelectasis as before. There are increasing largely reticular opacities in the right. The right costophrenic sulcus is indistinct. The heart is rotated to the right, as on previous studies. Mediastinal structures are stable. There are multiple old upper right rib fractures as demonstrated previously. The shoulder prosthesis remains in place. | 58084973 | EXAMINATION: CHEST (PA AND LAT) CLINICAL HISTORY History: ___F with cough x 3 weeks // r/o pna r/o pna COMPARISON: Previous chest x-rays dating back to ___ | Increasing density in the right lung most concerning for chronic or recurrent pneumonia. |
13415410 | The AP view is lordotic and rotated. The lateral view is limited, particularly anteriorly, given that the arms are down. There is similar dextrocardia which may relate to volume loss in the right hemithorax. The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear within the limitations of technique. There is no pleural effusion or pneumothorax. The patient is status post left shoulder replacement surgery. The bones appear demineralized. | 52615585 | FINAL ADDENDUM ADDENDUM: Please note the following correction. There is no dextrocardia. Instead, the mediastinum including the heart is shifted toward the right in association with volume loss, but situs appears within normal limits. ______________________________________________________________________________ FINAL REPORT CHEST RADIOGRAPHS HISTORY: Pre-operative. COMPARISONS: ___. TECHNIQUE: Chest, AP and lateral. | No evidence of acute cardiopulmonary disease. |
13415410 | Vague less than 1 cm nodular density in the left mid ung could represent overlapping soft tissue shadows. This was not seen on the previous chest x-ray from ___ or CT scan of the chest from ___. | 53815188 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with h/o tracheobronchiomalacia now with cough // ?pneumonia | No acute abnormality. No evidence for new pneumonia. |
13415410 | The lungs are well-expanded. A few streaky platelike areas of atelectasis in the right middle lobe are noted. No focal consolidation, effusion, edema, or pneumothorax. Leftward shift of the cardiomediastinal silhouette and slight elevation of the right hemidiaphragm appears overall similar to ___. Osseous changes in the right upper lobe may possibly reflect fusion of the posterior ribs from trauma or postsurgical change are probably similar to the prior exam when accounting for slight differences in position. The descending aorta are remains slightly ectatic. The heart is normal in size. Calcifications in the region of the trachea are unchanged. - is distension of the visualized upper abdomen is nonspecific. Mild dextroconvex scoliosis of the thoracic spine is unchanged. The bones are diffusely demineralized. The left shoulder prosthesis and deformity of the left proximal humerus appears similar to the prior radiograph on ___. No acute osseous abnormality. | 56507715 | EXAMINATION: PA and lateral chest radiograph INDICATION: ___-year-old female status post fall. TECHNIQUE: Chest PA and lateral COMPARISON: Portable chest radiograph dated ___. Left shoulder radiograph dated ___. | No significant interval change since ___ other than the line no longer being present. |
13415410 | The heart is not enlarged. The pulmonary hila, particularly on the left, are prominent, with a tapered appearance, similar to ___. No evidence of CHF. Similar the prior study, there is evidence of volume loss on the right, with slight rightward shift of mediastinum and slight elevation of the right hemidiaphragm. Probable old rib deformities in the right upper zone, question posttraumatic or postsurgical. Developmental changes of the ribs are considered less likely. On the right, there is blunting of the right lateral costophrenic angle, possible slight pleural thickening and linear atelectasis or scarring in the mid zone, unchanged compared with ___. There is equivocal increased in hazy opacity at the right base laterally, which may also relate to technical factors and/or pleural thickening. No discrete focal infiltrate and no consolidation is identified in the right lung. No posterior pleural effusions are seen. On the left, no focal infiltrate or effusion. Possible minimal atelectasis at the left base medially. At the edge of these images, a left hip shoulder arthroplasty is partially imaged, with evidence for a mid left humeral fracture which is probably healed. . | 50377492 | EXAMINATION: Chest radiograph INDICATION: History: ___F with cough x 1 week and PMHX of COPD and acute onset fever/myalgias/arthralgias // ? infiltrate TECHNIQUE: AP and lateral views of the chest COMPARISON: Prior radiographs from ___ through ___ | Cardiomediastinal silhouette and right hemithorax volume loss are unchanged compared with ___ and ___ as is blunting of the right lateral costophrenic angle, subtle changes along the right chest wall, and right mid zone linear atelectasis or scarring. Equivocal slight interval increase in opacity at the right lung base, question due to interval increase in pleural thickening versus technical differences. No discrete focal infiltrate. No consolidation. No other pleural fluid or thickening. Possible minimal atelectasis at left base medially. Deformity of ribs at the right lung apex, again noted, unchanged over multiple prior imaging studies. |
13970015 | A nasogastric tube is seen coursing below the diaphragm with the tip and side port terminating in the left upper quadrant, likely within the stomach. Radiopaque densities projecting over the right upper quadrant are compatible with gallstones. Renally excreted contrast is partially imaged within the abdomen. Bilateral small-to-moderate pleural effusions are noted with underlying atelectasis or consolidation. The lung apices are not well evaluated on this lordotic view. Within this limitation, no significant pneumothorax is detected. The interstitial lung markings are slightly increased, but the pulmonary vasculature is not engorged. The cardiac silhouette is incompletely evaluated due to bilateral pleural effusions. The mediastinal contours are prominent on the right, corresponding to a known mediastinal mass. The thoracic aorta is tortuous. | 56983309 | INDICATION: History of metastatic prostate cancer, now with cough, nausea, vomiting, and abdominal distention, here to evaluate for acute cardiopulmonary process. COMPARISON: CT torso with contrast dated ___. TECHNIQUE: Semi-erect AP and lateral radiographs of the chest. | NG tube in place. Bilateral small to moderate pleural effusions with underlying atelectasis or consolidation. Mediastinal widening corresponding to known mediastinal mass. Cholelithiasis. |
13549686 | The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. There is no free intraperitoneal air. Osseous structures are unremarkable. | 55824198 | INDICATION: ___F with chest pain epigastric constant // eval for pna TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13921089 | The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. There is no free intraperitoneal air. | 58207130 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with epigastric pain, known stones, evaluate for pneumothorax. TECHNIQUE: PA and lateral chest radiograph. COMPARISON: None. | No acute cardiopulmonary process. No pneumothorax. |
13247594 | PA and lateral views of the chest. There has been interval resolution of previously seen left basilar opacity. Central venous catheter again seen with tip at the RA/SVCjunction. Right brachiocephalic and superior vena cava vascular stent is stable in position. Cardiomediastinal silhouette is within normal limits. Surgical clips seen in the upper abdomen. No acute osseous abnormalities detected. | 54901448 | HISTORY: ___-year-old female with short gut syndrome and Crohn's now with fever. COMPARISON: ___. | No acute cardiopulmonary process. Resolution of previously seen left basilar opacity. |
13407304 | The heart is normal in size. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. No fracture is identified. | 50344000 | EXAMINATION: CHEST RADIOGRAPHS INDICATION: Injury with fall on the medicine ball. Question fracture. COMPARISON: Chest radiographs from ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease or injury. |
13274707 | Emphysema is seen with an upper lung predominance. There is minimal bibasilar scarring and/or atelectasis. The lungs are otherwise clear. Both costophrenic angles are excluded from this study, although there are no definite pleural effusions. No pneumothorax is seen. The cardiac and mediastinal contours are normal. | 54027435 | INDICATION: Bilateral rhonchi with a history of smoking. Evaluate for pneumonia. COMPARISON: None. | No acute cardiac or pulmonary process. Emphysema. |
13830137 | In the interval since the prior study, a right-sided chest tube has been placed. There has been interval resolution of the previously demonstrated layering pleural effusion. No pneumothorax seen. No consolidation or pleural effusion seen. A right-sided PICC terminates in the proximal SVC. An endotracheal tube terminates 3 cm above the level the carina. A nasogastric tube terminates below the left hemidiaphragm. Old healed right-sided rib fractures were better demonstrated on the prior study. | 55394372 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with Right sided chest tube r/o PTX // r/o PTX TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | Interval resolution of the right-sided pleural effusion following chest tube placement. No pneumothorax seen. |
13830137 | There is moderate congestive heart failure with pulmonary edema and small bilateral pleural effusions. The heart is enlarged. There is no pneumothorax. A left-sided PICC line is again noted. | 56640683 | WET READ: ___ ___ ___ 4:02 PM Interval increase in bilateral lower lobe interstitial opacities with small bilateral pleural effusions, and moderate cardiomegaly is consistent with pulmonary edema. Ktalati ___ 3:50PM d/w Dr. ___ ___ READ VERSION #1 ___ ___ ___ 3:50 PM Interval increase in bilateral lower lobe interstitial opacities with small bilateral pleural effusions, and moderate cardiomegaly is consistent with pulmonary edema. Ktalati ___ 3:50PM d/w Dr. ___ ______________________________________________________________________________ FINAL REPORT INDICATION: Hypoxia. TECHNIQUE: Frontal chest radiograph. COMPARISON: ___ | Moderate congestive heart failure. |
13830137 | The cardiac silhouette is stably enlarged. Lung volumes are low with associated crowding of bronchovascular structures at the lung bases. There is stable mild, unchanged indistinctness of the pulmonary vasculature. Trace bilateral pleural effusions are noted as demonstrated on recent abdominal CT from the same date. | 55947829 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with s/p vomiting contrast // eval for aspiration TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No lung findings to suggest acute aspiration. |
13830137 | Compared with prior radiographs on ___, an ET tube terminates at the origin of the right main bronchus with head in flexed position, and should be pulled back 3 cm. A right IJ is located deep in the right atrium, and should be pulled back 4 cm. The right PICC terminates at the junction of the right brachiocephalic vein and SVC. An NG tube passes below the level of the diaphragm and out of view. There is an increase in right basilar opacity, likely reflecting atelectasis or aspiration. No pneumothorax. Cardiomediastinal silhouette is unchanged. | 53420163 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman w cirrhosis, now s/p SBR, intubated // assess for interval change TECHNIQUE: Single frontal view of the chest COMPARISON: Prior radiographs on ___ | ET tube terminates at the origin of the right main bronchus and should be pulled back 3 cm. A right IJ central catheter is deep in the right atrium and should be pulled back 4 cm. Increased right basilar atelectasis or aspiration. |
13830137 | Portable semi-upright radiograph of the chest demonstrates well expanded, clear lungs. The small right pleural effusion seen on CT of the abdomen and pelvis from the same day is not visualized on this radiograph. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax. No free air beneath the right hemidiaphragm. | 52176764 | WET READ: ___ ___ 4:06 AM 1. Known small right pleural effusion is better seen on CT of the abdomen and pelvis from the same day. 2. No free air beneath the right hemidiaphragm. ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with abd pain // evidence of free air TECHNIQUE: Portable chest x-ray. COMPARISON: CT of the abdomen and pelvis dated ___. | Known small right pleural effusion seen on CT of the abdomen and pelvis from the same day is not visualized on this radiograph. No free air beneath the right hemidiaphragm. |
13830137 | Lordotic positioning. Compared with ___ at 05:40, an ET tube is now present, tip borderline low, 1.9 cm above the carina. An NG tube is present, tip extending beneath diaphragm, off film. Left IJ central line tip again overlies the distal SVC. No pneumothorax is detected. Cardiomediastinal silhouette is partially obscured, but probably unchanged. Again seen is hazy density in the right mid can lower zones, consistent with pleural effusion can underlying collapse and/or consolidation. The degree of vascular plethora in the right upper zone may be slightly increased, but there is also considerable artifact due to overlying materials. On the left, no overt CHF. Patchy opacity at the retrocardiac region is similar to the prior film. No left effusion. Old healed right rib fractures and tapered left clavicle again noted. | 57062009 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with s/p re-intubation ___ resp failure // eval interval change COMPARISON: Chest x-ray from ___ at 05:40 | Interval placement of ET tube. The tube lies borderline low, approximately 1.9 cm above the carina. Clinical correlation regarding possible retraction by 1 cm is requested. Suspect large right effusion with underlying collapse are the consolidation, similar to the prior film. Equivocal increase in vascular plethora in the right upper zone -- this area is considerably obscured by artifact due to overlying materials. Patchy opacity at the left base is similar to the prior film. No significant left-sided vascular plethora and no left pleural effusion. |
13830137 | A left internal jugular catheter terminates in the distal SVC. A nasogastric tube terminates in the stomach. There has been an interval increase in the right pleural effusion, now moderate. There is associated increased opacification of the right lung base likely reflecting atelectasis but superimposed infection cannot be excluded. The left lung appears grossly clear. Borderline cardiomegaly with prominence of the pulmonary vasculature consistent with mild pulmonary vascular congestion. | 55136930 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old F cirrotic, s/p SBR, altered mental status, extubated // assess for interval change TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | Increased right pleural effusion with associated atelectasis, superimposed infection cannot be excluded. |
13830137 | No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly stable given differences in inspiration. Slight increase in interstitial markings diffusely bilaterally may be due to minimal interstitial edema | 54201015 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with CP*** WARNING *** Multiple patients with same last name! // acute process TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Possible minimal interstitial edema. |
13830137 | No focal consolidation is identified. There is mild interstitial edema, improved since ___. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. A left upper extremity PICC terminates at the distal SVC. | 59870477 | EXAMINATION: Chest x-ray INDICATION: Chest pain, evaluate for pneumonia versus CHF. TECHNIQUE: Chest AP and lateral COMPARISON: Multiple prior chest radiographs with direct comparison made to study from ___. | Mild pulmonary interstitial edema. No focal consolidation. |
13410178 | The cardiac silhouette size remains mild to moderately enlarged but unchanged. Mediastinal and hilar contours are normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. No displaced fractures are seen. | 51567202 | HISTORY: Right rib pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. No displaced fractures identified, but if there is continued concern, a dedicated rib series can be obtained. |
13624277 | A right-sided tunneled catheter terminates at the upper right atrium. There has been interval placement of a left-sided central venous catheter terminating at the cavoatrial junction. There is no pneumothorax. There is a moderate-sized right pleural effusion, and a small left pleural effusion, both increased since ___, with worsening bibasilar atelectasis, severe at the left lower lobe. An underlying consolidation cannot be excluded. There is mild cardiomegaly. | 59182822 | INDICATION: Fever. COMPARISON: Radiographs available from ___ and CT torso from ___. FRONTAL CHEST | Increased bilateral pleural effusions with increased atelectasis, more severe at the left base. Underlying consolidation in this region cannot be excluded. |
13624277 | Two AP frontal images were obtained to cover the entire thorax on this portable bedside examination. Comparison is made with the next preceding portable chest examination of ___. Position of previously described dialysis catheter and central venous line unchanged. The previously observed parenchymal densities occupying the right-sided cardio-diaphragmatic angle on this portable chest examination appears unchanged. Improvement has occurred in a left upper lobe density which was described as a linearly oriented atelectasis in the left juxtahilar region. No new pulmonary abnormalities are seen, and no pulmonary vascular congestion is identified. A chest CT of ___, i.e. obtained between these two portable chest examinations is reviewed. It showed some plate atelectasis in the area, but no conclusive evidence for discrete pneumonia. | 50602067 | TYPE OF EXAMINATION: Chest, AP portable single view. INDICATION: ___-year-old male patient with persistent fevers, on hemodialysis, worsening cough, evaluate for possible acute pulmonary process. | Stable chest findings. No evidence of new pneumonic infiltrate. No pneumothorax. |
13624277 | Single frontal view of the chest demonstrates a new small left pleural effusion with resultant atelectasis. The previously noted right pleural effusion is not appreciated on this examination. There is no pneumothorax, and the cardiac silhouette is unchanged. A right-side subclavian catheter tip terminates in the low SVC. | 53100456 | INDICATION: New fevers, evaluate for infectious process. COMPARISONS: ___ and CT of the chest ___. | New small left pleural effusion. |
13330358 | Frontal and lateral views of the chest are obtained. There has been marked elevation of the right hemidiaphragm, which has been seen on multiple prior studies dating back to at least ___. There is persistent blunting of the right costophrenic angle. There is mild left base atelectasis. A trace left pleural effusion would be difficult to entirely exclude. Cardiac and mediastinal silhouettes are overall stable. Since the prior study, there appears to be decrease in pulmonary vascular engorgement. | 50440218 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old male with history of shortness of breath and fever. COMPARISON: ___ and ___. | Stable marked elevation of the right hemidiaphragm and blunting of the right costophrenic angle. Left base atelectasis, trace left pleural effusion would be difficult to exclude. Interval decrease in central pulmonary vascular engorgement. |
13385199 | Frontal and lateral views of the chest were obtained. The aorta remains calcified and tortuous. The cardiac silhouette is top normal to mildly enlarged. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. | 58127328 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Fall. COMPARISON: ___. | No acute cardiopulmonary process. |
13385199 | Heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged and there is diffuse calcification of the thoracic aorta. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 53016746 | HISTORY: Increased confusion. TECHNIQUE: Semi-upright AP and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13385199 | PA and lateral views of the chest are provided. The heart is mildly enlarged. There is no pneumothorax or pleural effusion. Coarse interstitial markings are stable from prior. Atherosclerotic calcification along the aortic knob noted. Bony structures appear intact. | 57355529 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Trauma, fall, question injury to the chest. | No acute traumatic injury. |
13174810 | A single portable supine frontal chest radiograph was obtained. There has been slight interval improvement in the degree of opacification of a right upper lobe pulmonary contusion. Several smaller bilateral contusions are also noted. There is no new consolidation, effusion, or pneumothorax. Endotracheal tube remains in the upper airway. An enteric catheter loops in the stomach and extends below the field of view. Two right and two left chest tubes are unchanged. Mediastinal drain and median sternotomy wires are stable. Extensive vascular surgical clips are seen overlying the right upper chest. | 59487807 | INDICATION: ___-year-old man status post MVC and repair of subclavian artery avulsion. COMPARISONS: ___ to ___. | Interval decrease in size of right upper lung contusion. |
13174810 | There is a small left apical pneumothorax. There has been interval placement of an NG tube, the tip of which projects over the expected position of the body of the stomach. A second NG tube, tracheostomy tube, right upper extremity PICC, left chest tube, right chest tube are unchanged, and in expected position. Median sternotomy wires, surgical ___, and clips superimposed upon the right lung apex are again noted. IVC filter is partially visualized. Airspace opacity, right greater than left is not significantly changed and may reflect atelectasis or pneumonia. | 52301265 | HISTORY: ___-year-old male with tracheostomy and new NG tube placement. COMPARISON: ___. | Small left apical pneumothorax; left chest tube unchanged in position. Interval NG tube placement, the tip of which is superimposed upon the expected position of the stomach. Stable airspace opacity, right greater than left, atelectasis versus pneumonia. |
13174810 | An endotracheal tube tip terminates 6 cm above the carina. A Dobbhoff tube loops in the stomach. A right-sided PICC line remains in the upper SVC. A right pleural catheter is stable. A moderate left pneumothorax has significantly increased in size since yesterday's exam. A left-sided chest tube remains in expected position at the left chest apex. Right-sided pulmonary vascular congestion and and peripheral hematoma is unchanged. Cardiac and mediastinal contours are similar. Median sternotomy wires and upper mediastinal surgical clips and skin ___ are stable. | 59044428 | INDICATION: ___-year-old man with polytrauma. COMPARISON: ___ to ___. | Left pneumothorax has increased to moderate size. Findings were discovered at 10:05 on ___. Promptly discussed via telephone with one of the trauma SICU resident. |
13174810 | A trace left pneumothorax is now present. Bilateral chest tubes, endotracheal tube, right central venous line and endotracheal tubes are in unchanged position. Large right contusion is stable. A displaced left first rib fracture has increased. | 52695205 | INDICATION: ___-year-old man with trauma and worsening left pneumothorax. COMPARISON: 5:30 a.m. | Significant decrease in size of left pneumothorax. |
13174810 | New Dobbhoff tube coils in the stomach. Endotracheal and bilateral thoracostomy tubes are unchanged in position. Clips in the region of the right subclavian artery. No significant pneumothorax. Right upper lobe pulmonary contusion is unchanged. Mild cardiomegaly, central venous congestion, and small bilateral pleural effusions persist. Bilateral rib fractures are present. | 50071459 | INDICATION: ___-year-old male with Dobbhoff tube placement. COMPARISON: ___ at 12:33. CHEST, AP | Dobbhoff tube in stomach. Right upper lobe contusion and pulmonary edema. |
13174810 | Endotracheal tube terminates 4.5 cm above the carina. Nasogastric tube courses into the stomach. Two right and one left thoracostomy tubes are stable. There are changes of median sternotomy, with clips along the right subclavian artery. There is no significant pneumothorax. Small bilateral pleural effusions persist. Right upper lobe contusion is unchanged. There is continued mild cardiomegaly, central venous congestion, and interstitial edema. Multiple bilateral rib fractures. Decreased air in the left chest wall. | 52206521 | INDICATION: ___-year-old male post-MVA with sternotomy and repair of subclavian artery avulsion. COMPARISON: ___. CHEST, | Mild pulmonary edema and right upper lobe contusion. |
13174810 | Endotracheal tube tip is approximately 5 cm above the carina and orogastric tube courses below the diaphragm; however, its distal end is off the radiographic view. Apart from preexisting two chest tubes on the right side and a chest tube on the left side, there are two new mediastinal drain tubes, one ending in the lower mediastinum, while another is in the upper medistinum. Since yesterday, there has been a substantial improvement in the widened mediastinum concerning for hematoma, which is mostly from post-surgical evacuation, as reflected by an open sternum with skin ___. There has been significant improvement in the moderately severe pulmonary edema and residual opacity in the right upper-mid lung is a combination of hemorrhage/atelectasis. Left apical pneumothorax is small. Pleural effusions, if any, are minimal bilaterally. | 50872660 | INDICATION: To evaluate for reaccumulation of hemothorax, pneumothorax, or consolidation. Status post chest trauma, sternotomy, repair of subclavian artery. TECHNIQUE: Semi-erect portable chest view was read in comparison with prior radiographs with the most recent from yesterday acquired ___ hours apart. | Since yestarday, following surgical evacuations, widened mediastinum secondary to hematoma and moderately severe pulmonary edema have substantial improved and small left apical pneumothorax is new. Residual right upper-mid lung opacity is mostly combination of hemorrhage and/or atelectasis. |
13174810 | Mediastinal drains and superior right chest tube have been removed. Single right and left chest tubes persist. Endotracheal tube again terminates 6 cm above the carina. Nasogastric tube courses in the stomach. Clips are noted in the region of the right subclavian artery. Again seen is a right upper lobe pulmonary contusion. Lung volumes are low, with increased middle and lower lobe atelectasis. There is continued moderate cardiomegaly and central venous congestion. Small bilateral pleural effusions are present. Minimal residual air in the left basilar pleural space, adjacent to resolving areas of chest wall subcutaneous gas. Multiple bilateral rib fractures are present. | 51399588 | INDICATION: ___-year-old male with polytrauma and bilateral rib fractures. COMPARISON: ___. CHEST, | Removal of mediastinal drains and one right chest tube. Right upper lobe contusion and pulmonary edema. |
13994735 | Heart size is normal. The aorta remains tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Mild to moderate degenerative changes are noted in the thoracic spine. . | 50287786 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with history of HIV presents with confusion TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute cardiopulmonary abnormality. |
13595209 | No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal. | 50810749 | HISTORY: ___-year-old woman with persistent cough, evaluate for pathology. TECHNIQUE: PA and lateral chest radiographs were obtained with the patient in the upright position. COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary disease. |
13595209 | Ill-defined opacities in the right middle lobe and lingula are new. Bronchial wall thickening in the right upper lobe has increased. No lobar consolidation. No pleural effusion or pneumothorax. Heart size is normal. | 50735001 | INDICATION: ___ year old woman with bronchiectasis and a cough with sputum production for the past month // Rule out PNA TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Worsening, mild peribronchial opacities in the right upper middle, and lingula can represent mild bronchopneumonia or active bronchitis. |
13586526 | The cardiomediastinal and hilar contours are within normal limits. There is an area of increased opacity seen at the left lung base, concerning for pneumonia. The right lung is clear. There is no large pleural effusions or pneumothorax. | 54564584 | HISTORY: Asthma, chest pain. COMPARISON: None available. TECHNIQUE: PA and lateral chest radiographs. | Left lower lobe pneumonia. Short interval followup is recommended upon completion of treatment to document resolution. |
13697443 | Heart size is normal. Mediastinal and hilar contours are unremarkable with atherosclerotic calcifications noted diffusely within the aorta. Pulmonary vasculature is normal. Small right pleural effusion is noted with adjacent streaky opacity, possibly reflective of atelectasis though infection is not excluded. Left lung is clear. Multilevel degenerative changes are seen within the thoracic spine. | 55043779 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with altered mental status TECHNIQUE: Chest PA and lateral COMPARISON: None. | Small right pleural effusion with adjacent right basilar streaky opacity, likely atelectasis though infection cannot be completely excluded. |
13746615 | PA and lateral views of the chest were reviewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are clear with no focal consolidation concerning for pneumonia. Note is made of an azygos fissure. | 54867122 | INDICATION: Multiple episodes of presyncope, query cardiomegaly. COMPARISON: None. | No acute cardiopulmonary process. No cardiomegaly. |
13354623 | PA and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. | 58290927 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: Hand pain and cough. | No acute findings in the chest. |
13975682 | Right internal jugular central venous catheter tip terminates in the SVC. The heart remains moderate to severely enlarged. Mediastinal contours are stably widened. There is continued mild pulmonary edema and bibasilar atelectasis. No large pneumothorax or pleural effusion is seen on this supine study. | 56227324 | HISTORY: New central line placement. TECHNIQUE: Supine AP view of the chest. COMPARISON: ___ at 19:37. | Right internal jugular central venous catheter tip is within the SVC. |
13975682 | The lung volumes are low. There is new interstitial thickening and bibasilar patchy opacities compatible with pulmonary edema with likely underlying subsegmental bibasilar atelectasis versus consolidation. Mild cardiomegaly and aortic knuckle calcification. Hilar vasculature prominence is present. Small bilateral pleural effusions. Diffuse demineralization hand or right acromioclavicular arthropathy. | 51740235 | INDICATION: ___ year old woman s/p lap chole with hx dCHF and postop pulm edema now being diuresis // interval change/pulm edema? TECHNIQUE: Semi erect portable radiograph of the chest COMPARISON: ___ | Low lung volumes with worsening pulmonary edema and bibasilar atelectasis versus consolidation. |
13975682 | Single AP portable view of the chest. Exam is limited secondary to technique and body habitus. This may account for the increased interstitial markings in part. There is no evidence of focal consolidation or definite effusion noting the right costophrenic angle is excluded from the field of view. Cardiac silhouette is enlarged, also likely accentuated due to technique and unchanged from prior. The osseous structures are unremarkable. | 56655667 | HISTORY: ___-year-old female with shortness of breath and tachycardia. COMPARISON: ___. | Possible mild pulmonary vascular congestion which may be accentuated by technique. |
13975682 | Patient is rotated somewhat to the right. There are relatively low lung volumes. Again, the right hemidiaphragm is elevated with right base atelectasis seen. Medial right base opacity is felt to more likely represent atelectasis than pneumonia. Cardiac and mediastinal silhouettes are stable, particular in comparison to ___. Central pulmonary vascular engorgement is seen. No pleural effusion or pneumothorax is seen. Skin fold overlies the left hemi thorax. | 55510048 | WET READ: ___ ___ ___ 12:18 PM Low lung volumes. Central pulmonary vascular engorgement. Elevated right hemidiaphragm with right base atelectasis. Medial right base opacity is felt to more likely represent atelectasis than pneumonia. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with R sided chest pain // ?pneumonia TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ in ___ | Low lung volumes. Central pulmonary vascular engorgement. Elevated right hemidiaphragm with right base atelectasis. Medial right base opacity is felt to more likely represent atelectasis than pneumonia. |
13975682 | The study is limited due to rotation and low lung volumes. The heart is moderate to severely enlarged. Widening of the superior mediastinal contour is seen similar compared to the prior study and attributable to mediastinal fat as seen on the prior chest CTA from ___. There is crowding of the bronchovascular structures, and mild pulmonary edema is likely present. Bibasilar airspace opacities could reflect atelectasis. Infection cannot be excluded. There is no pleural effusion or pneumothorax. Degenerative changes of both glenohumeral and acromioclavicular joints are noted. | 53663198 | HISTORY: Fever and hypotension. TECHNIQUE: Supine AP view of the chest. COMPARISON: Chest radiograph ___. Chest CTA ___ | Limited study due to patient rotation and low lung volumes. Mild pulmonary edema and bibasilar atelectasis. Infection in the lung bases however cannot be completely excluded. |
13098601 | ET tube approximately 6.8 cm above the carina. NG tube tip over stomach. Enteric type tube extending beneath diaphragm, off film. Right IJ central line over proximal SVC. Left IJ central line near confluence of left innominate and right subclavian vessels. No pneumothorax is detected . Cardiomediastinal silhouette is probably unchanged. Hazy density at both lung bases could reflect presence of small layering effusions. There is underlying bibasilar collapse and/or consolidation. There is upper zone redistribution and mild diffuse vascular blurring consistent with CHF. This may be very slightly improved compared with the prior film as the confluent opacity in left mid zone is less apparent. | 58018771 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with pancreatitis // intubated COMPARISON: None. | Findings similar to the prior study from ___ at 04:02 a.m.. Possible slight interval improvement in CHF findings. |
13098601 | Interval insertion of a left-sided pigtail catheter. The remaining support devices are stable. Complete resolution of the left-sided pleural effusion. Elevation of the right hemidiaphragm due to subcapsular hepatic collection with associated right-sided pleural effusion and atelectasis have slightly improved. No pneumothorax. Mild to moderate cardiomegaly is stable. | 56593302 | INDICATION: ___ year old man with chest tube L new // ? ptx COMPARISON: ___ | Interval insertion of left-sided pigtail catheter was successful drainage of the left pleural effusion. Improvement of moderate right pleural effusion and right upper lobe atelectasis. |
13098601 | The support devices are stable and in good position. The left lung remains clear with pigtail catheter in good position. No pneumothorax. The moderate right-sided effusion is likely layering posteriorly given for differences in technique. The right upper lobe atelectasis and aeration has slightly improved. | 56682588 | INDICATION: ___ year old man with worsening respiratory status // eval for interval changes COMPARISON: ___ | Slight interval improvement right upper lobe atelectasis. Stable moderate pleural effusion. |
13098601 | There has been interval removal of the right internal jugular catheter. A right-sided PICC line is in-situ, the tip is positioned in the distal SVC. A nasogastric tube is in-situ, the tip is not visualized but lies the left hemidiaphragm. There is silhouetting of the bilateral hemidiaphragms with increased air bronchograms and airspace opacity projecting in the left lung base when compared to the prior study. No pneumothorax seen. | 52123904 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with pancreatitis // evaluation TECHNIQUE: Portable AP chest radiograph. COMPARISON: Chest radiograph ___ | Progression of the bilateral predominately basal airspace opacities, more severe on the left than the right. |
13098601 | The ETT continues to appear high. The right IJ terminates in the low SVC. There is a left IJ which terminates in the upper SVC. There is an NG and dobhoff, both of which coarse below the diaphragm, however the tips are not visualized. The bilateral pleural effusions and mild pulmonary edema are unchanged. Chronic elevation of the right hemidiaphragm. Heart size is stable. The mediastinal and hilar contours are stable. No pneumothorax is seen. | 50028854 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with hemorrhagic pancreatitis, respiratory failure, ? PNA // Interval change, NG location TECHNIQUE: Portable supine chest radiograph. COMPARISON: Chest radiograph dated ___. | Unchanged positioning of ET tube, right IJ, left IJ, NG, and dobhoff. Unchanged bilateral pleural effusions and mild pulmonary edema. |
13098601 | Slightly rotated positioning. An NG tube is present -- the tip extends beneath the diaphragm. The configuration suggests that the NG tube is looped, probably within the stomach, with the extreme tip crossing itself to lie beneath the left hemidiaphragm, likely within the upper gastric fundus. The previously seen enteric tube is no longer visualized. The ET tube tip lies at the level of the lower clavicular heads, approximately 6.1 cm above the carina. A right IJ central line tip overlies the proximal/mid SVC. A left IJ central line lies near the tip of the proximal SVC. No pneumothorax is detected. Cardiomediastinal silhouette and pulmonary findings are similar to ___ at 04:06 | 57850036 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with h/o HTN, ESRD s/p LURT renal tx in ___ on tacro/MMF, initially admitted for DKA, acute pancreatitis ___ triglycerides, ___ on CKD, c/b partial SMV thrombosis near occlusion of splenic vein, hemorraghic ascites with anticoagulation, and enterococcal bacteremia, admitted to MICU for hypoxemic respiratory failure ___ aspiration event, and hypotension concerning for septic shock on levophed. // interval assessment and for NGT placement COMPARISON: None. | NG tube passes below the diaphragm and likely loops within the stomach, with tip overlying the upper most gastric fundus. The previously seen enteric tube has been removed. Otherwise, I doubt significant interval change. |
13098601 | Lung volumes are low. Cardiomediastinal prominent, however likely due to a large epicardial fat pad seen on the reference CT and low lung volumes as there is no cardiomegaly. No pleural effusions, focal consolidation, or pneumothorax. No free subdiaphragmatic air is identified. | 58980377 | WET READ: ___ ___ ___ 11:27 AM No acute cardiopulmonary process. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___M with abdominal pain, DKA, pancreeatitis. R/o free air or infiltrate. Please do upright. TECHNIQUE: Single portable AP, upright view of the chest. COMPARISON: Outside hospital CT abdomen and pelvis from ___ and chest x-ray from ___. | No acute cardiopulmonary process. |
13098601 | Tip of the endotracheal tube is in good position. The remaining support devices are in good position. The moderate right-sided effusion and adjacent atelectasis has slightly improved there is improved aeration medially of the right lower lobe. The right lung remains clear. No pneumothorax. | 55920050 | INDICATION: ___ year old man with necrotizing pancreatitis c/b hemorrahgic ascites and VRE bacteremia, respiratory failure ___ fluid overload and b/l pleural effusions; recently self-extubated in resp distress requiring re-intubation // assess for ET tube palcement COMPARISON: ___ | Slight interval improvement of right moderate effusion and adjacent atelectasis. |
13098601 | As compared to the previous radiograph, the monitoring and support devices are unchanged and in good position. No complications, no pneumothorax, Slight worsening of bilateral basal opacities and a few strands. Mild pulmonary vascular congestion persists. | 56039307 | INDICATION: ___M with h/o HTN and ESRD s/p LURT in ___ on tacro 1.___/MMF initially admitted for DKA, acute pancreatitis ___ triglycerides now with resp failure and pneumonia // ET placement, interval change TECHNIQUE: Chest PA and lateral | Interval decrease in lung volumes with worsening basal opacities and stable effusions. |
13677368 | 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. | 51580971 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with chest pain TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
13911122 | The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear, without consolidation, pleural effusion or pneumothorax. | 58401538 | INDICATION: ___-year-old male with IV drug overdose, now with decreased oxygen saturation. COMPARISON: None. PA AND LATERAL CHEST | No acute cardiopulmonary pathology. |
13330962 | Cardiac silhouette size is normal. Calcified right hilar and mediastinal lymph nodes are better demonstrated on the previous CT. Calcified granuloma within the right upper lobe is unchanged. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is identified. No acute osseous abnormalities are detected. | 57041298 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest CTA ___. | No acute cardiopulmonary process. |
13330962 | Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion, or pneumothorax. Right apical scarring and calcified granuloma are unchanged. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected. | 56673918 | HISTORY: ___-year-old male with cough. Question pneumonia. COMPARISON: ___. | No acute cardiopulmonary process. |
13686740 | There has been interval improvement of the right-sided pleural effusion. The pleural effusion on the left side remains stable. There is a new peribronchial opacification in the left lower lobe which could be secondary to atelectasis or pneumonia. The aeration in the right upper lung appears to have improved. No free subdiaphragmatic gas, pneumoperitoneum or pneumomediastinum. The heart size is normal. The hilar and mediastinal contours are unremarkable. There is no pneumothorax. | 50949759 | INDICATION: ___-year-old male status post exploratory laparotomy for a perforated ulcer who presents for followup of pleural effusions seen on previous chest radiograph. COMPARISON: Chest radiographs from ___ and ___. TECHNIQUE: PA and lateral radiographs of the chest. | Interval improvement of the right-sided pleural effusion. Stable left-sided pleural effusion. New left lower lobe atelectasis or pneumonia. |
13686740 | Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is not engorged. There are linear bibasilar airspace opacities most compatible with subsegmental atelectasis or scarring. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. | 59134011 | FINAL ADDENDUM There is equivocal lucency beneath the left diaphragm which could reflect pneumoperitoneum. Follow up CT abdomen and pelvis has already been performed at this point (5:15pm, ___). ______________________________________________________________________________ FINAL REPORT HISTORY: Epigastric abdominal pain and left chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | Bibasilar subsegmental atelectasis versus scarring. |
13498039 | The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected. | 53001624 | HISTORY: Fever. TECHNIQUE: PA and lateral views of the chest. COMPARISON: None. | No acute cardiopulmonary process. |
13656334 | No focal consolidation is identified. There is moderate pulmonary vascular congestion and interstitial edema. The cardiac silhouette is normal. There is no pleural effusion or pneumothorax. Included upper abdomen is unremarkable. Calcifications of the aortic arch are noted. | 51366521 | INDICATION: Stroke, evaluate for acute process. TECHNIQUE: Chest AP and lateral views. COMPARISON: Multiple prior chest radiographs with direct comparison made to study from ___. | Moderate pulmonary vascular congestion and interstitial edema. |
13656334 | The lungs are clear of opacities concerning for infection. Subtle left lower lobe opacities likely represent areas of atelectasis, which date back to ___. There is no pleural effusion or pneumothorax. Cardiac size is normal. No frank pulmonary edema. An old left sided rib fracture is reidentified, but no acute fractures are present. Degenerative changes of the left shoulder including subchondral cyst formation date back to ___. | 53709488 | HISTORY: Confusion and chest contusion. COMPARISON: ___. TECHNIQUE: AP and lateral views of the chest. | 1) No evidence of acute cardiopulmonary process. 2) No rib fracture is identified on these non-dedicated radiographs. If clinical concern remains, dedicated rib radiographs are recommended. |
13656334 | Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. No fracture is identified. The visualized upper abdomen is unremarkable. | 58741636 | INDICATION: Evaluate for fracture in a patient status post fall. COMPARISON: Chest radiographs from ___, ___, ___, ___. | No fracture identified. If there is continued clinical concern, dedicated rib films can be obtained. No acute cardiopulmonary process. |
13656334 | A portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette and moderately well-aerated lungs, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. | 58906133 | INDICATION: Evaluate for pneumonia in a patient with hypoxia. COMPARISON: Chest radiographs from ___, ___, ___, ___. | No acute cardiopulmonary process. |
13415856 | PA and lateral views of the chest demonstrate background pulmonary fibrosis, as before with decreased volume of right pleural effusion and persistence of left pleural effusion with bibasilar atelectasis. There is no pneumothorax. Although no focal consolidation is identified, an underlying infectious process in the setting of atelectasis and pulmonary fibrosis cannot be completely excluded. Multiple wedge compression deformities within the thoracic spine were present previously. | 51646064 | HISTORY: Shortness of breath bilateral lower extremity swelling. COMPARISON: Comparison is made to chest radiograph from ___. | Although no focal consolidation is identified, in the setting of background pulmonary fibrosis and bilateral pleural effusions, an underlying infectious process cannot be completely excluded. |
13218155 | A left chest wall dual lead pacemaker is present. The patient is status post prior median sternotomy and CABG. There are bibasilar opacities, greater on the left which may reflect atelectasis or consolidation in the proper clinical context. No pleural effusion or pneumothorax is identified. The size the cardiomediastinal silhouette is enlarged but unchanged. | 53585905 | INDICATION: ___ year old man with hx MI CABG, now with dyspnea. // ?pulm edema vs consol? TECHNIQUE: AP portable chest radiograph COMPARISON: ___ | Left greater than right bibasilar opacities may reflect atelectasis, or consolidation in the proper clinical context. No pulmonary edema. |
13282744 | Frontal and lateral views of the chest are obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, as are the hilar contours. No pulmonary edema is seen. | 58168270 | EXAM: Chest, frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of cough. COMPARISON: ___. | No acute cardiopulmonary process. |
13282744 | The cardiac silhouette and mediastinal and hilar contours are within normal limits. No CHF, focal infiltrate, effusion, or pneumothorax is detected. No mediastinal air or free air beneath the diaphragm is identified. The manubrium, sternum and xiphoid are not optimally visualized on the lateral view, but they were well seen on a CT from ___ and the appearance on today's exam likely reflects limitations of positioning . Retrosternal fat is grossly unremarkable. Bony structures about the chest are otherwise grossly unremarkable. | 56030972 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with retrosternal chest pain evaluate for acute process TECHNIQUE: Chest PA and lateral COMPARISON: ___ | No acute pulmonary process identified. |
13282744 | There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. | 51081018 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___F with r sided cp // eval for ptx TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
13282744 | The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are normal. | 58697427 | INDICATION: Evaluation of patient with chest pain. COMPARISON: Chest radiograph from ___ as well as CTA chest from ___. | No acute cardiopulmonary process. |
13430481 | There is mild cardiomegaly and mild pulmonary vascular redistribution with small bilateral pleural effusions. Drains are seen overlying bilateral hemidiaphragms. | 52076808 | CHEST HISTORY: ORIF with hypotension and hypoxia. | Small bilateral pleural effusions, increased compared to prior. |
13430481 | There is silhouetting of the bilateral hemidiaphragms suggestive of a moderate right and a small left pleural effusion. Bulky, lobulated densities seen in the anterior and middle mediastium. There is also increased density in the subcarinal region and associated narrowing of the left mainstem bronchus. Pathcy opacity seen a the right lung apex. No focal opacities are noted in the left lung. Multiple thoracic vertebral compression fractures are also noted. Surgical clip seen in the neck on the left. | 55068437 | INDICATION: Evaluation of patient with shortness of breath. History of lymphoma COMPARISON: Chest CT from the same day. | Bulky mediastinal masses compatible with patient's history of lymphoma. Moderate right and small left pleural effusions. Patchy opacity the right lung apex. See report from CT performed the came day for additional details. |
13430481 | There is a re-accumulation of small left pleural effusion, with associated compressive atelectasis of a the left lower lobe. Trace right pleural effusion and a basal pleural cathter are unchanged. No consolidation, pulmonary edema, or pneumothorax is seen. The cardiac size is normal. Again seen is extensive mediastinal lymphadenopathy, in keeping with the patient's known history of lymphoma. Moderate compression of at least three thoracic vertebral bodies, is unchanged since earlier CT of ___. | 57076062 | INDICATION: ___-year-old man with pleural effusions, to assess interval change. COMPARISON: Chest radiograph ___. PA AND LATERAL CHEST | Re-accumulation of small sized left pleural effusion with compressive atelectasis of the left lower lobe. Widespread mediastinal adenopathy, in keeping with known history of lymphoma. |
13430481 | Moderate left pleural effusion has reaccumulated with accompanying atelectasis resulting in retrocardiac opacity. Smaller right pleural effusion is also seen with right-sided presumed pleural drainage catheter not well assessed. The remainder of the lung is well expanded without pneumothorax. Continued widening of the right and left paratracheal stripes, fullness in the AP window, and density in the subcarinal region is compatible with adenopathy which in total is not particularly improved since the prior studies. Unchanged compression fractures are seen in the mid and lower thoracic spine. | 55979670 | INDICATION: ___-year-old male with lymphoma and pleural effusion, for interval assessment. COMPARISONS: ___. | Reaccumulated moderate left and trace right pleural effusions with extensive mediastinal adenopathy compatible with history of lymphoma without notable improvement. Mid and lower thoracic compression fractures are unchanged. |
13312252 | ETT terminates approximately 3.8 cm above the carina. Enteric tube tip seen within the region of the gastric body, side-port likely just distal to the GE junction. Lung volumes are normal. There is no focal consolidation, effusion or pneumothorax. There is mild central vascular congestion without overt pulmonary edema. Mediastinal and hilar contours are normal. Dense atherosclerotic calcifications are noted. Atherosclerotic calcification of the aortic knob. | 53331630 | WET READ: ___ ___ ___ 11:17 PM ETT terminates approximately 3.8 cm above the carina. Mild central vascular congestion without overt pulmonary edema. WET READ VERSION #1 ___ ___ ___ 3:46 PM ETT terminates approximately 2 cm above the carina. Mild central vascular congestion without overt pulmonary edema. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___F with intubated txf // eval for ETT placemetn TECHNIQUE: PA and lateral views of the chest provided. COMPARISON: Same-day chest radiograph. | ETT terminates approximately 3.8 cm above the carina. |
13312252 | The tip of the endotracheal tube has been retracted and now lies 4.3 cm from the carina. The right subclavian central venous catheter tip extends to the cavoatrial junction. A left internal jugular central venous line extends to the right atrium. A gastric tube extends into the stomach. There is no focal consolidation, pleural effusion or pneumothorax identified. The appearance of the cardiomediastinal silhouette is unchanged. | 52718551 | INDICATION: ___ year old woman with ETT repositioned // interval change TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day | Interval retraction of the endotracheal tube which now lies 4.3 cm from the carina. No other significant interval change. |
13312252 | The tip of the right central venous catheter extends to the distal SVC. A left central venous dialysis catheter extends to the right atrium. Unchanged heavy atherosclerotic calcification in the right axillary and subclavian and brachiocephalic veins as well as the aorta. Stent graft is noted in the left upper extremity. There is no focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits. | 56517298 | INDICATION: ___ year old woman with hypotension and altered mental status // C/f pna TECHNIQUE: AP portable chest radiograph COMPARISON: ___ | No radiographic evidence of acute cardiopulmonary disease. |
13312252 | The cardiomediastinal silhouette appears stable. The right PICC line terminates at the cavoatrial junction in the left jugular catheter terminates at the right atrium. When compared to the most recent study there is apparent opacification of the lower left lung that likely represents superimposed soft tissue. There is no evidence of pleural effusion, pneumothorax, or pulmonary edema. There is a small bilateral lucencies underneath the diaphragm that is consistent with intraperitoneal air and is compatible with recent gastrostomy tube placement. | 53596039 | EXAMINATION: Portable semi-erect chest x-ray INDICATION: ___ year old woman s/p extubation, ESRD, // eval for edema TECHNIQUE: Chest PA and lateral COMPARISON: Comparison is made to chest x-rays dated back to ___ with the most recent dated ___ | No evidence of pulmonary edema. Small bilateral subdiaphragmatic lucencies representative of intraperitoneal air compatible with recent gastrostomy tube placement. |
13312252 | Comparison is made to same-day chest x-ray with interval placement of ET tube terminating 0.5 cm superior to the carina. Previously seen lower left lobe opacity is improved and likely represents small left pleural effusion with left lower lobe atelectasis. Again the cardiomediastinal silhouette is stable. There is no evidence of focal opacities, pneumothorax, or pulmonary edema. | 57374845 | EXAMINATION: Portable upright chest x-ray INDICATION: ___ year old woman with reintubation // eval placement of ET tube TECHNIQUE: Portable upright chest x-ray COMPARISON: Comparison is made to multiple chest x-rays dated ___ | Interval placement of ET tube terminating 0.5 cm superior to the carina. Small left pleural effusion with left lower lobe atelectasis. |
13312252 | Interval retraction of the endotracheal tube which now projects 4.5 cm from the carina. The tip of the right subclavian central line projects over the mid to distal SVC and the left internal jugular PA catheter tip extends to the right atrium. There has been no significant interval change in a small left pleural effusion with subjacent atelectasis. No new focal consolidation or pneumothorax. The cardiomediastinal silhouette is enlarged but unchanged. Again noted is extensive vascular calcification. | 50891249 | INDICATION: ___ year old woman with ETT placement // reeval ETT positioning TECHNIQUE: AP portable chest radiograph COMPARISON: ___ from earlier in the day | Interval retraction of the endotracheal tube which now projects 4.5 cm from the carina. No other significant interval change from the prior study. |
13407359 | Compared with most recent prior radiograph, pulmonary vascular congestion has resolved. The bibasilar opacities have resolved with only minimal linear density at the right base likely consistent with atelectasis. The cardiomediastinal silhouette is unchanged. No pleural effusion or pneumothorax is present. | 50901366 | HISTORY: Aspiration event. Question pneumonitis versus pneumonia. COMPARISON: ___. | Interval resolution of pulmonary vascular congestion. No evidence of pneumonia. |
13864585 | Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal and hilar contours are unremarkable. No pulmonary edema is seen. | 57135315 | HISTORY: Shortness of breath, chest pain, palpitations, tachycardia. TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: None. | Top-normal cardiac silhouette size. Otherwise, no acute cardiopulmonary process. |
13784168 | The heart is normal in size. The mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are similar along the mid-to-lower thoracic spine. | 53716976 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13089507 | PA and lateral chest radiograph demonstrates clear lungs bilaterally. There is no focal consolidation. There is no pleural effusion or pneumothorax. | 57878947 | INDICATION: ___-year-old female with cough and syncope. COMPARISON: Radiograph dated ___. | No acute intrathoracic abnormality. |
13089507 | The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. | 54995163 | CHEST RADIOGRAPHS HISTORY: Shortness of breath. COMPARISON: Radiographs from ___ and CT from ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute cardiopulmonary disease. |
13089507 | Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiomediastinal contours are normal. No pleural effusion or pneumothorax. Stable biapical pleural thickening is noted. | 55207582 | HISTORY: Persistent cough and wheeze. Lifetime smoker. Evaluate for pneumonia. COMPARISON: ___. | No acute cardiopulmonary process. |
13821532 | Cardiac size is top-normal. The aorta is tortuous. Right lower lobe consolidation in is new. Bilateral effusions are small. The lungs are otherwise hyperinflated suggesting COPD. There is no pneumothorax. There are mild degenerative changes in the thoracic spine. Calcifications in the left mid lung are again noted. Faint Ill-defined left upper lobe rounded opacities that could be part of the infection need follow-up to exclude lung nodules. | 50806283 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with cough, fevers // ___ year old woman with cough, fevers TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Right lower lobe pneumonia and left upper lobe lung nodules followup is recommended to assess for resolution. |
13745540 | Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Multilevel degenerative changes with anterior osteophyte formation are seen within the thoracic spine. | 58407376 | HISTORY: Hyperglycemia, on penicillin for bronchitis. TECHNIQUE: PA and lateral views of the chest. COMPARISON: Chest radiograph ___. Chest CT ___. | No acute cardiopulmonary process. |
13040016 | The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 57001290 | HISTORY: Chest pain. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13040016 | The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. | 57179744 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with chest pain // ? pna TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | No acute cardiopulmonary process. |
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