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13040016 | The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. | 56594682 | INDICATION: ___-year-old male with cough and chest pain. TECHNIQUE: PA and lateral chest radiographs were obtained. COMPARISON: Chest radiograph ___ and ___. | No acute cardiopulmonary process. |
13040016 | The lungs and pleural spaces are clear without evidence of pneumothorax or pleural effusions. The heart is stable in size. There is no evidence of pneumoperitoneum and osseous structures are grossly unchanged. | 58472136 | AP AND LATERAL RADIOGRAPH OF THE CHEST CLINICAL INDICATION: ___-year-old male with chest pain. TECHNIQUE: PA and lateral radiographs of the chest were obtained. COMPARISON: ___. | No acute intrathoracic process. |
13281197 | Frontal AP and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. There is mild bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax. Increased interstitial markings particularly at the bases may be due to chronic lung disease. Cardiomegaly is unchanged. Mediastinal silhouettes and hilar contours are stable allowing for low lung volumes. Degenerative change is seen in the left shoulder girdle. There is no free air under the diaphragm. No displaced rib fracture is seen. | 54291723 | INDICATION: ___-year-old woman presenting with chest pain. COMPARISON: ___. | No acute intrathoracic process. |
13281197 | Assessment is limited due to poor position and rotation. Allowing for this limitation, lung volumes are low, with multiple bibasilar opacities. There is a large subpulmonic right-sided pleural effusion with minimal fluid tracking in the minor fissure. A left-sided pleural effusion is also present. There is no pneumothorax. ___ cardiac and mediastinal contours cannot be assessed in the study. | 55758160 | EXAMINATION: PORTABLE CHEST RADIOGRAPH INDICATION: Patient with abdominal pain. Evaluate for abdominal free air or acute abnormalities. . TECHNIQUE: Frontal upright chest radiograph COMPARISON: Chest radiograph from ___ and ___. | Bilateral pleural effusions with multiple bibasilar patchy opacities concerning for multifocal pneumonia. |
13281197 | The lungs are clear aside from increased reticular opacities at the right lower lung, which has been stable since ___. Patient has known emphysema. There is no evidence of pneumonia. Cardiomediastinal contours are normal and there is no pleural abnormality. Bony structures demonstrate multilevel degenerative changes in the thoracic spine as well as diffuse bony demineralization. | 51404978 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with abdominal pain, malaise. Evaluate for pneumonia. TECHNIQUE: Chest AP upright and lateral radiographs COMPARISON: ___ | No evidence of pneumonia. Emphysema |
13202100 | Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no focal consolidation, pleural effusion or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. Partially imaged upper abdomen demonstrates prominent air-filled large bowel loops. | 50109176 | INDICATION: Patient with an episode of choking. Assess for aspiration. COMPARISONS: Chest radiograph of ___. | No evidence of acute cardiopulmonary process. |
13202100 | The lung volumes are low. There is similar mild relative elevation of the right hemidiaphragm. The heart is at the upper limits of normal size. The lungs appear clear. There are no pleural effusions or pneumothorax. There has been little if any change. | 51265278 | CHEST RADIOGRAPH COMPARISONS: ___. TECHNIQUE: Chest, portable AP view. | No evidence of acute disease. |
13048619 | 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. | 59269566 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with hyperglycemia, SOB // Eval for PNA COMPARISON: ___. | No acute intrathoracic process. |
13473429 | There remains marked left upper lobe volume loss in association with traction bronchiectasis, parenchymal scarring, architectural distortion and asymmetrical left apical thickening. In the setting of scattered calcified granulomas in both lungs, this is most likely the sequela of the provided history of previous granulomatous infection. Appearance of the lungs is otherwise similar to the prior exam except for a 1 cm well-circumscribed rounded opacity in the right upper lung at the level of the fifth posterior rib, not clearly seen on the prior exam. Heart size remains normal. There is no evidence of pleural effusion. . | 57234403 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old man with chest/back discomfort, asthma, hx tb? // any worrisome lesion? COMPARISON: ___. | Findings consistent with sequelae of previous granulomatous infection. Apparently new 1 cm nodular opacity in right upper lung. |
13429359 | Supine portable AP view of the chest was provided. A right IJ central venous catheter is seen with its tip residing in the expected location of the superior vena cava. Lung volumes are low. There is no definite sign of pneumonia or CHF. Mild retrocardiac opacity could represent a small degree of left lower lobe atelectasis. No pneumothorax or pleural effusion is seen. Cardiomediastinal silhouette is stable. Bony structures appear intact. | 50941705 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON ___. CLINICAL HISTORY: Nausea, vomiting, right upper quadrant pain. | Appropriately positioned right IJ central venous catheter. Mild left basal atelectasis. |
13429359 | The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. No definite rib fractures identified. Included upper abdomen is unremarkable. | 50436658 | INDICATION: ___F with hx of DVT and mult falls, and hip surg, now with fall and head trauma, evaluate for rib fractures. TECHNIQUE: Chest AP only COMPARISON: Multiple prior chest radiographs with direct comparison made to study from ___. | No acute intrathoracic process. No definite rib fracture. |
13220640 | Interval decrease in size of the right pleural effusion, now small in extent. Opacity in the right lower lung zone likely reflect atelectasis and residual pleural fluid. There is no pneumothorax identified. There persisting opacities centrally in the left lung. Small left pleural effusion. The size and appearance of the cardiac silhouette is unchanged. | 53749357 | INDICATION: ___ year old man s/p TAVR with acute decompensated CHF and R pleural effusion now s/p ___ // s/p ___ ___ for ptx TECHNIQUE: AP portable chest radiograph COMPARISON: ___ | Interval decrease in size of the right pleural effusion, now small in extent. Right lower lung zone opacities likely reflect atelectasis and pleural fluid. No pneumothorax identified. Unchanged appearance of the left, predominantly perihilar, airspace opacities. |
13220640 | PA upright and lateral chest radiograph demonstrates a large right pleural effusion. This appears to have been present on prior study dated ___, slightly increased in size. There are scattered airspace opacities throughout the left lung field new since prior study. The left aerated lung appears clear. There is a small left pleural effusion. Cardiac border is obscured. Aortic arch calcifications are noted. | 56740601 | INDICATION: ___M with dyspnea, hypoxia // Eval for acute process TECHNIQUE: Chest PA and lateral COMPARISON: Radiograph dated ___ | Larger right pleural effusion, increased in size minimally since prior study dated ___. Small left pleural effusion. Patchy airspace opacities in the left lung field is predominantly perihilar. Etiologies are broad and include infection, pulmonary edema, less likely pulmonary hemorrhage. |
13220640 | There small bilateral pleural effusions with adjacent atelectasis, greater on the right. Interval decrease in the the airspace opacities centrally in the left lung. No pneumothorax identified. The size and appearance of the cardiac silhouette is unchanged. The patient is status post TAVR. | 54426787 | INDICATION: ___ year old man with CHF + hemoptysis (scant, few episodes) // effusion, edema TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Small bilateral pleural effusions with subjacent atelectasis, greater on the right. Interval decrease in the left predominantly perihilar airspace opacities. |
13307900 | PA and lateral views of the chest. The lungs are clear. There is no consolidation, effusion or pneumothorax. Note is made of an azygos fissure. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures demonstrate no acute abnormality. | 51016648 | HISTORY: ___-year-old male with chest pain radiating to left arm. COMPARISON: ___. | No acute cardiopulmonary process. |
13307900 | PA and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. | 57600888 | HISTORY: Chest pain. COMPARISON: Comparison made with chest radiographs from ___ and ___. | No acute cardiopulmonary process. |
13523654 | Frontal lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes in the spine. | 51328928 | HISTORY: ___-year-old male with chest pain. COMPARISON: Chest CT from ___. | No acute cardiopulmonary process. |
13015032 | PA and lateral views of the chest demonstrate well-expanded clear lungs. Heart is top normal in size and cardiomediastinal contour is unremarkable. There is no pleural effusion or pneumothorax. | 50046486 | INDICATION: ___-year-old man with hand infection, pre-op evaluation. COMPARISON: None. | No acute intrathoracic abnormality. |
13906770 | The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. Osseous structures are grossly intact. | 50342066 | INDICATION: ___ year old man with chest pain, normal EKG. Evaluate for acute cardiopulmonary process. TECHNIQUE: Portable upright chest radiograph was obtained. COMPARISON: Multiple priors with direct comparison made to study from ___ | No acute cardiopulmonary process. |
13906770 | Lung volumes are slightly low. Retrocardiac opacity is most likely atelectasis. No focal consolidation, edema, effusion, or pneumothorax. The heart is mildly enlarged. The thoracic aorta is slightly tortuous. Aortic knob calcifications are moderate. No mediastinal widening. Degenerative changes in both AC joints are mild. Moderate degenerative changes are seen in the right glenohumeral joint. Multilevel degenerative changes in the thoracic spine are mild. | 50157475 | EXAMINATION: Chest radiograph INDICATION: ___-year-old man with right sided weakness. Evaluate for pneumonia. TECHNIQUE: Chest PA and lateral COMPARISON: No prior imaging is available on PACS at the time of this dictation. | No focal pneumonia. Mild cardiomegaly. |
13906770 | Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Patchy opacities in the lung bases may reflect atelectasis. No large pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. | 56171758 | HISTORY: Chest pain, near-syncope, history of ablation. TECHNIQUE: Upright AP view of the chest. COMPARISON: ___. | Patchy bibasilar opacities likely reflect atelectasis in the setting of low lung volumes. |
13859242 | Frontal and lateral radiographs of the chest demonstrate hyperinflated clear lungs. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or focal consolidation. Note is made of chronic anterior wedge deformity of a mid thoracic vertebral body, unchanged from ___. There are no acute displaced rib fractures identified. There is a fracture through the neck of the left humerus, which is partially imaged on this study, and has a similar appearance to ___. | 55707847 | WET READ: ___ ___ ___ 4:31 PM 1. Fracture through the neck of the left humerus, which is partially imaged on this study. Recommend dedicated radiographs of the left shoulder for additional evaluation. 2. No acute cardiopulmonary process. *** ED URGENT ATTENTION *** ______________________________________________________________________________ FINAL REPORT INDICATION: History: ___F with fall // Eval for injury TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiographs dated ___ through ___. | *** ED URGENT ATTENTION *** Fracture through the neck of the left humerus, which is partially imaged on this study and has a similar appearance to ___. Recommend clinical correlation and dedicated radiographs of the left shoulder, if clinically indicated. No acute cardiopulmonary process. |
13859242 | PA and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. There is a mild deformity of a mid thoracic vertebral body which is stable from ___. | 54255028 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: Prior exam from ___. CLINICAL HISTORY: Shortness of breath and cough, question pneumonia. | No acute findings in the chest. |
13859242 | Heart size is normal. The mediastinal and hilar contours are remarkable for unchanged tortuosity of the thoracic aorta. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Compression deformity in the mid thoracic spine has been present since ___. | 58935346 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with dementia with acute worsening of cognitive status // r/o infiltrate TECHNIQUE: Chest PA and lateral COMPARISON: ___. ___ | No acute cardiopulmonary abnormality. |
13859242 | No parenchymal abnormalities aside from calcified granulomas. No pleural effusion or pneumothorax. No adenopathy is seen and cardiomediastinal silhouette is largely unchanged as compared to prior. | 52357514 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___ year old woman with unexplained weight loss // mass, infiltrate, adenopathy? mass, infiltrate, adenopathy? TECHNIQUE: PA and lateral chest views COMPARISON: Radiograph dated ___ | No radiographically evident explanation for the patient's weight loss |
13859242 | The lungs are clear without consolidation, effusion, or edema. Calcified granuloma seen at the left lung base. Cardiomediastinal silhouette is within normal limits. Chronic fracture through the proximal left humerus as on prior. Compression deformity of a mid thoracic vertebral body was also seen on prior. | 59813965 | INDICATION: ___F with acute onset SOB in setting of known asthma // r/o PNA TECHNIQUE: Single portable view of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13096970 | There are increased interstitial markings with cephalization of the pulmonary vessels, compatible with mild interstitial pulmonary edema. Stable severe cardiomegaly. There is no pneumothorax. | 52287296 | PORTABLE AP CHEST X-RAY INDICATION: Patient with CHF, hypotension, evaluation of pulmonary edema. COMPARISON: ___. | New mild interstitial pulmonary edema. |
13096970 | The heart remains moderately enlarged. The mediastinal and hilar contours are stable. The pulmonary vascularity is not engorged. Patchy opacities within the lung bases may reflect atelectasis. There is likely a trace left pleural effusion, but this has decreased compared to the prior study. Previously noted small right pleural effusion is not clearly demonstrated on the current exam. No pneumothorax is definitively noted. There are no acute osseous abnormalities. | 52623805 | HISTORY: Palpitations. TECHNIQUE: Portable upright AP view of the chest. COMPARISON: ___. | Bibasilar patchy opacities which may reflect atelectasis. Possible small left trace pleural effusion. |
13096970 | New left-sided pacemaker is in adequate position with the lead in the atrium and the other one in right ventricle. There is no pneumothorax. Left moderate pleural effusion and small right pleural effusion are new with left lower lobe atelectasis. Moderate cardiac enlargement is unchanged. | 53793101 | PA AND LATERAL CHEST X-RAY INDICATION: Patient with long QT syndrome, dual-chamber ICD lead confirmation. COMPARISON: ___. | New left-sided pacemaker is in adequate position. Bilateral pleural effusions are new, moderate on the left side and small on the right side. |
13096970 | Heart size is moderately enlarged, which is likely unchanged when compared to the prior study when accounting for differences in technique. The mediastinal and hilar contours are unremarkable. There is minimal pulmonary vascular congestion but no overt pulmonary edema. Small bilateral pleural effusions are likely present, and more focal opacity within the retrocardiac region may reflect atelectasis though infection cannot be excluded. No pneumothorax is identified. No acute osseous abnormalities are seen. | 54603427 | HISTORY: Atrial fibrillation with rapid ventricular rate. Dyspnea. COMPARISON: ___. TECHNIQUE: Upright AP view of the chest. | Moderate cardiomegaly with mild pulmonary vascular congestion but no overt pulmonary edema. Small bilateral pleural effusions. Retrocardiac opacity may reflect atelectasis though infection cannot be excluded. |
13096970 | The cardiac silhouette appears moderately enlarged but stable compared to prior study. Two lead left-sided pacemaker appears in place. There is trace residual left pleural effusion, improved from prior, with adjacent atelectasis. Previously visualized right trace pleural effusion is resolved. | 54800687 | HISTORY: Evaluation for shortness of breath. COMPARISON: Chest radiograph from ___. | Cardiomegaly with trace residual left pleural effusion. |
13016664 | Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable. | 59600974 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: ___-year-old female with history of chest pain, shortness of breath. COMPARISON: ___. | No acute cardiopulmonary process. |
13060436 | The heart is mildly enlarged. The central pulmonary vasculature is minimally prominent which may suggest fluid overload, but without frank congestive heart failure. A more focal opacity is present in the right lower lung, probably in the right lower lobe. In the setting of low clinical concern for pneumonia, this appearance can probably be attributed to atelectasis but is not specific. Minimal blunting is noted along each costophrenic sulcus; since these do not appear sharp, there may be very small pleural effusions. There is no pneumothorax. | 50864870 | CHEST RADIOGRAPH HISTORY: Edema and dyspnea on exertion. COMPARISONS: None. TECHNIQUE: Chest, portable AP upright. | No evidence of frank congestive heart failure, although perhaps slight fluid overload. Patchy right infrahilar opacity, probably compatible with atelectasis. If there is any potential clinical concern for pneumonia, then short-term followup radiographs could be considered, however, preferably with PA and lateral technique when feasible. |
13089870 | Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. | 52567299 | INDICATION: ___-year-old female with the cough for several months, on immunosuppressive treatment for Crohn's disease. COMPARISON: None available. | No acute cardiopulmonary process such as pneumonia. |
13858873 | PA and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected. | 56118139 | HISTORY: ___-year-old female with chest pain and shortness of breath. COMPARISON: ___. | No acute cardiopulmonary process. |
13959524 | The cardiomediastinal and hilar contours are within normal limits. Lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax. | 50278716 | EXAMINATION: Chest radiograph. INDICATION: History: ___F with tachycardia, N/V // Eval for infiltrates TECHNIQUE: Chest AP and lateral COMPARISON: Chest radiograph from ___. | No acute cardiopulmonary process. |
13959524 | The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. There is no free intraperitoneal air. | 56327457 | INDICATION: ___F with abdominal pain, elevated lactate, nausea/vomiting // ?pna, ?appendicitis TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13959524 | Interval placement of a right IJ central venous catheter with tip in the lower SVC. 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. | 58421242 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: History: ___F with leukocytosis, tachycardia // ? pna TECHNIQUE: Single portable semi upright AP chest radiograph COMPARISON: Same day at 21:46 | Interval placement of a right IJ central venous catheter with tip in the lower SVC. No complications. No acute cardiopulmonary abnormality. |
13697952 | There is trace linear atelectasis at the base of the left lung. There is no focal consolidation, pleural effusion or pneumothorax. Mild pectus deformity is noted. The cardiomediastinal and hilar contours are within normal limits. Surgical clips are demonstrated in the right upper quadrant. | 51243245 | EXAMINATION: Chest radiograph INDICATION: ___F with fever // eval for pna TECHNIQUE: Chest PA and lateral COMPARISON: Prior chest radiographs most recent on ___ | Trace linear atelectasis at the left base. No focal consolidation, pleural or pneumothorax. |
13697952 | The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified. Clips are noted in the right upper quadrant, most consistent with a prior cholecystectomy. | 50005608 | INDICATION: Chest pain 2 inches above the right costal margin persisting for two weeks in the setting of an upper respiratory infection. Evaluate for pneumonia or rib abnormality. COMPARISONS: Chest radiograph from ___. TECHNIQUE: PA and lateral views of the chest were obtained. | No acute cardiopulmonary process. Results were discussed with Dr. ___ at 4:05 p.m. on ___ via telephone by Dr. ___ at the time the findings were discovered. |
13697952 | The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. | 51537179 | HISTORY: A ___-year-old female with biliary colic; preop for cholecystectomy. STUDY: Portable AP upright chest radiograph. COMPARISON: None. | No acute cardiopulmonary process. |
13738426 | The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. | 58735745 | INDICATION: ___-year-old woman with trauma to right side. Evaluate for acute cardiopulmonary process preop. TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray from ___ | No acute cardiopulmonary process. |
13556136 | There is a right-sided PICC line with its tip projecting over the mid SVC. There has been no significant change since the chest radiograph from the prior day. A left-sided pacemaker with a single lead extending to the right ventricular apex is again seen. | 52498189 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with recent PICC placement, ?line slipped during dressing change. Evaluate PICC position. TECHNIQUE: 2 AP portable views of the chest. COMPARISON: Chest radiograph from ___ and ___. | The tip of the right-sided PICC line projects over the mid SVC, similarly to the prior study. |
13326903 | PA and lateral views of the chest provided. 2 radiopaque BBs project over the anterior chest, appear external. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Degenerative changes in the T-spine noted with loss of disc space. No free air below the right hemidiaphragm is seen. | 51820138 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___F with dizziness // eval for pna COMPARISON: ___ | No acute intrathoracic process. |
13326903 | There are low lung volumes, and a sub-optimal inspiratory effort. Allowing for changes due to this, the cardiomediastinal silhouettes are stable. Diffuse interstitial prominence may relate to bronchovascular crowding in the setting of low lung volumes. There is no focal lung consolidation. There is no pneumothorax or pleural effusion. | 55068141 | EXAMINATION: PA and lateral chest x-ray. INDICATION: An ___-year-old woman with hypoxia, evaluate for acute process. TECHNIQUE: PA and lateral projections, upright positioning. COMPARISON: Chest x-ray ___. | No evidence of acute cardiopulmonary process. Low lung volumes. |
13326903 | Frontal and lateral views of the chest were obtained. The heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. | 56493186 | HISTORY: Shortness of breath, difficulty breathing. COMPARISON: Chest radiograph ___, every ___. | No acute cardiopulmonary process. |
13326903 | Cardiomediastinal and hilar contours are unremarkable, with stable tortuous descending thoracic aorta. On a background of faint interstitial disease, scattered nodular opacifications are seen only on one view (projecting over thrid left interspace on frontal and ascending aorta on lateral). No opacification concerning for pneumonia present. No pleural effusion or pneumothorax identified. | 55121372 | INDICATION: Cough, dyspnea, assess for pneumonia. COMPARISON: Comparison is made to chest radiograph performed ___. | No acute intrathoracic process. Background interstitial changes with possible small nodules. Recommend evaluation with chest CT, non-emergently. Updated findings discussed with Dr ___ at 07:52am on ___ via telephone 2 min after discovery. |
13326903 | The lungs are clear. There is no focal consolidation or pneumothorax. There is no vascular congestion or pleural effusion. The thoracic aorta is enlarged and tortuous, though no focal aneurysmal dilatation is apparent. Cardiomediastinal and hilar contours are within normal limits. | 50970171 | HISTORY: ___-year-old female with nausea. COMPARISON: Chest radiograph from ___. PA AND LATERAL CHEST | No acute cardiopulmonary process. |
13326903 | The lung are slightly hyperinflated and the diaphragms are flattened, consistent with COPD. The heart is not enlarged. There appears tortuous and unfolded. There is prominence of the pulmonary hila, with a tapered appearance, suggesting pulmonary hypertension. No CHF, frank consolidation or gross effusion is identified. Minimal blunting of the costophrenic angles posteriorly noted. No pneumothorax detected . Subtle increased interstitial markings are consistent with background interstitial lung disease, more completely evaluated on a chest CT from ___. | 53426850 | INDICATION: ___F with ___ yo woman with history of COPD/asthma, HTN, hypothyroidism presenting with complaints of palpitations, ?CP, SOB, diaphoresis and BP reading of 209 this afternoon. // etiology patient's chest pain/ SOB? Pneumonia vs. cardiomegaly c/w CHF COMPARISON: Multiple prior exams, most recently of ___. TECHNIQUE: Frontal and lateral views of the chest. | Background COPD with interstitial lung disease and probable pulmonary hypertension. No acute pulmonary process detected. |
13326903 | PA and lateral views of the chest provided. Focal ill-defined opacity is seen at the right lung base which could represent atelectasis, less likely pneumonia. No effusions or pneumothorax. Cardiomediastinal silhouette stable. Bony structures intact. No free air below the right hemidiaphragm. | 56739281 | CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: ___. CLINICAL HISTORY: Adrenal insufficiency, on prednisone with asthma and cough and shortness of breath. Assess for pneumonia. | Minimal opacity at the right lung base most likely atelectasis, though cannot exclude a tiny focus of pneumonia. |
13326903 | AP and lateral views of the chest were obtained. The heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Previously seen streaky focal lucency in the right lower lobe is not seen on the current study. There is no consolidation concerning for pneumonia. | 54544807 | HISTORY: Dizziness, angina, slight shortness of breath. COMPARISON: Chest radiograph every ___ ___. Chest radiograph ___. | No acute cardiopulmonary process. |
13326903 | The cardiac, mediastinal and hilar contours appear unchanged including moderate unfolding and calcification along the thoracic aorta. The heart is normal in size. There is a new right lateral pleural thickening with a lenticular configuration, as well as mixed patchy opacification and lucency overlying adjacent lung parenchyma of uncertain etiology. This lucency may be artifactual but differential considerations include air in a cavity, atelectasis, or subtle infection associated with pleural thickening. Elsewhere, the lungs appear clear. Degenerative changes are similar along the thoracic spine. | 51822366 | CHEST RADIOGRAPHS HISTORY: Cough and wheezing. History of asthma and COPD. COMPARISONS: ___. TECHNIQUE: Chest, AP upright and lateral. | New right lateral pleural thickening and a vague streaky focal lucency in the right lower lung of uncertain etiology but subtle evidence for air within a cavity is a differential consideration. Depending on the acuity of findings, chest CT is suggested versus short-term radiographic follow-up is suggested. Correlation with whether there may have been any intercurrent illness with a pleural effusion is also suggested. |
13326903 | The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion or pneumothorax is present. | 53631048 | INDICATION: ___-year-old woman with dyspnea, question pneumonia or CHF. COMPARISON: Multiple chest radiographs with the latest from ___. TWO VIEWS OF THE | No acute intrathoracic process. |
13326903 | The heart is normal in size. There is similar calcification and unfolding along the thoracic aorta. The mediastinal and hilar contours appear unchanged, allowing for differences in technique. There is no evidence for pleural effusion or pneumothorax. The lungs appear clear. Slight degenerative changes are similar along the thoracic spine. | 51131930 | CHEST RADIOGRAPHS HISTORY: Chest pain. COMPARISONS: ___. TECHNIQUE: Chest, PA and lateral. | No evidence of acute disease. |
13326903 | Heart size is stable. Slight increase in mediastinal silhouette may be positional or may reflect increased unfolding of the thoracic aorta. There is no pleural effusion or pneumothorax. Lungs are well expanded with no focal consolidation concerning for pneumonia. | 55240820 | INDICATION: Nausea, fever, please evaluate for pneumonia. | No focal consolidation concerning for pneumonia. |
13848298 | Frontal and lateral radiographs of the chest demonstrate a stable appearing right upper lobe opacity and right axillary calcifications. Heart size normal. Tortuous aorta. There is no pneumothorax, pleural effusion, or consolidation. | 58518861 | INDICATION: History: ___F with dyspnea // r/o PNA TECHNIQUE: Chest PA and lateral COMPARISON: Multiple prior chest radiographs dated ___ and ___ comment CT of the chest dated ___. | No acute cardiopulmonary process. |
13532440 | Heart size is normal. Aortic knob is calcified. Moderate size hiatal hernia is again noted. Coronary artery stent is re- demonstrated. Pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen. | 54566459 | HISTORY: Intermittent chest pain and for 2 weeks. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. Moderate size hiatal hernia. |
13660140 | The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. Mild apical capping on the right is unchanged from ___. | 59853499 | WET READ: ___ ___ ___ 9:24 AM No acute cardiopulmonary abnormality. ______________________________________________________________________________ FINAL REPORT EXAMINATION: Chest radiograph INDICATION: History: ___M with multiple syncopal episodes // eval for CHF, pneumonia TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___ | No acute cardiopulmonary abnormality. |
13854902 | Frontal and lateral radiographs of the chest demonstrate mildly low lung volumes, accentuating the cardiac contour and pulmonary vasculature. Right basilar opacity is noted and likely corresponds to ateletasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal contours are otherwise normal. | 52804178 | HISTORY: HCV cirrhosis and new abdominal swelling. Evaluate for pneumonia. COMPARISON: None available. | Mild right basilar atelectasis. Follow up radiograph is recommended for evaluation of resolution. |
13854902 | lung volumes are slightly lower than on the prior study. There is patchy alveolar infiltrate bilaterally, pulmonary vascular redistribution, and perihilar haze. Heart size is also mildly enlarged | 59399480 | HISTORY: Decompensated cirrhosis fever. COMPARISON: ___. | CHF but an underlying infectious infiltrate can't be excluded. |
13854902 | Frontal and lateral chest radiographs demonstrate a heart size which is slightly increased compared to chest radiograph from 1 week prior. The remainder of the exam is essentially unchanged, demonstrating bibasilar atelectasis. The lungs are otherwise clear and there is no pleural effusion or pneumothorax. | 57038016 | HISTORY: HCV/alcoholic cirrhosis, presenting with hemoptysis. Evaluate for interval change. COMPARISON: Chest radiographs from ___, ___, and ___. | Slight increase in heart size, which may be due to variation in phase of the cardiac cycle. ECHO may be considered for further evaluation if clinically indicated. Otherwise unchanged exam. These findings were entered into the critical communications dashboard at ___ on ___. |
13854902 | The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. | 51079777 | HISTORY: Cirrhosis. Question pneumonia. COMPARISON: Prior chest radiograph from ___ and chest CT from ___. TECHNIQUE: PA and lateral chest radiographs. | No acute cardiopulmonary process. |
13876511 | Heart size is normal and unchanged. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. There is a 0.6 cm calcified granuloma in the right midlung, unchanged since at least ___. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 53828452 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___-year-old woman with 1 day of chest pain. Evaluate for an acute process, pneumonia, pneumothorax, mediastinal widening. TECHNIQUE: Chest PA and lateral COMPARISON: ___ ; CT chest ___ | No acute cardiopulmonary abnormality. |
13876511 | Frontal and lateral views of the chest were obtained. Projecting over the region of the posterior right eighth rib, there is a 6 mm rounded calcified nodule most likely representing a calcified granuloma. The remainder of the lungs is clear. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. No overt pulmonary edema is seen. The aorta is tortuous. There is minimal prominence of the ascending aorta which could be due to tortuosity; however, mild dilatation is not excluded and if of clinical concern, could be further evaluated on chest CT. Multilevel degenerative changes are seen along the spine. | 54140117 | EXAM: Chest frontal and lateral views. CLINICAL INFORMATION: Chest pain that began yesterday. COMPARISON: None. | Likely right lower lung calcified granuloma. No focal consolidations or pneumothorax. Slight prominence of the ascending aorta may relate to tortuosity although mild dilatation is not excluded and could be further evaluated for on CT, urgency depending on patient's symptoms. |
13876511 | The lungs are clear without consolidation, effusion, or edema. Calcified right lung base granuloma is again noted. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. | 52970805 | INDICATION: ___F with cp and LUE weakness // eval for stroke TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
13680126 | Increased left basilar retrocardiac opacification is likely due to atelectasis. The known left upper lobe mass is better demonstrated on the prior CT scan. Paramediastinal scarring and fibrosis is unchanged. The lungs are otherwise clear. There is no pneumothorax. | 57929738 | EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old man with L nodule s/p bronch // r/o ptx TECHNIQUE: Portable AP radiograph of the chest. COMPARISON: Chest radiograph dated ___. Chest CT dated ___. | No pneumothorax. Increased left basilar retrocardiac atelectasis. Stable paramediastinal radiation fibrosis. |
13680126 | The cardiomediastinal and hilar contours are stable with geographic marginated fibrotic changes in the paramediastinal areas consistent with radiation changes. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. Signs of volume loss are again seen in both upper lobes. Surgical clips are redemonstrated in the upper abdomen. | 53272600 | INDICATION: Cough and shortness of breath, persistent despite antibiotics and inhalers. COMPARISON: Chest radiograph ___, ___. | No acute cardiopulmonary process. |
13680126 | There is no focal consolidation or pneumothorax. There is a small left pleural effusion with underlying atelectasis, decreased since ___. Postsurgical changes in the left lung are stable. The cardiomediastinal silhouette is shifted to the left, unchanged since the prior exam and likely due to volume loss. The imaged upper abdomen is unremarkable. The bones are intact. | 55705600 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___M with cough/syncope // eval for cough TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph from ___. | Small left pleural effusion and likely minimal underlying left lower lobe atelectasis, decreased since ___. Postsurgical changes in the left upper lobe. Otherwise no significant change since the prior study. |
13680126 | The right port catheter is in expected and unaltered position. Heart size is normal. Again seen is paramediastinal fibrosis, likely secondary to prior radiation therapy. The pulmonary vasculature is normal. Underlying emphysematous changes. Again seen are hazy opacities in the right mid and lower lung, which may represent resolving pneumonia. No pleural effusion or pneumothorax is seen. Calcified right lower lobe granuloma best seen on the lateral view near the cardiophrenic angle. No acute fractures. Again seen are left posterolateral thoracotomy rib fractures. Again seen are surgical clips in the left upper quadrant. | 52239856 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with squamous cell carcinoma of lung presenting with cough and axilla pain. Evaluate for pneumonia or rib fracture TECHNIQUE: Chest PA and lateral COMPARISON: CT chest ___ | Compared ___ and allowing for differences in technique, there is no significant interval change of the hazy opacities in the right mid and lower lung, which may represent resolving pneumonia. No evidence of interval worsening or acute rib fracture. |
13680126 | Since ___, resolved left pleural effusion and basilar atelectasis. New loculated pleural effusion in the lateral aspect of the left mid lung and increased displacement of posterior rib fracture. Postsurgical changes with unchanged upward retraction of the right minor fissure and elevation of the right hilum. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. . No pneumonia, no pulmonary edema. No pleural effusions. | 50930593 | INDICATION: ___ year old man s/p left thoracotomy and upper division segmentectomy. ___ with new incisional pain // check interval change TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___. | New loculated pleural effusion in the lateral aspect of the left lung with increased displacement of the left posterior rib fracture. Resolved left pleural effusion and atelectasis. |
13680126 | Heart size is normal. Mediastinal and hilar contours are unchanged. Patient is status post left upper lobe superior segmentectomy with chain sutures and expected postoperative changes noted in the left hilum. Lungs are hyperinflated with marked upper lobe a dominant emphysema. Pulmonary vasculature is not engorged. Chronic left lateral and costophrenic angle pleural thickening is re- demonstrated. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Multiple clips are noted within the left upper quadrant of the abdomen. Deformity of the left rib cage is likely from prior thoracotomy. | 54113101 | EXAMINATION: CHEST (PA AND LAT) INDICATION: ___M with productive cough and shortness of breath TECHNIQUE: Chest PA and lateral COMPARISON: Chest radiograph ___, CT chest ___ | No acute cardiopulmonary abnormality. Postoperative changes in the left upper lobe. Severe upper lobe predominant emphysema. |
13680126 | There is no evidence of pneumonia, pleural effusions or pneumothorax. No pulmonary edema. Tenting of the left hemidiaphragm suggests scarring/fibrosis. Cardiomediastinal silhouette is within normal limits. Multiple surgical clips are noted within the upper abdomen. | 59864091 | EXAMINATION: Chest radiograph INDICATION: ___ year old man with chronic cough // chronic cough TECHNIQUE: Chest PA and lateral COMPARISON: Chest x-ray ___ | No acute cardiopulmonary process. |
13680126 | There is a small left pleural effusion with overlying atelectasis. Postsurgical changes are again seen in the left upper lung. Again, there is upward retraction of the left hilum as well as the minor fissure on the right. . The cardiac and mediastinal silhouettes are stable. | 50035142 | EXAMINATION: Chest: Frontal and lateral views INDICATION: History: ___M with change in mental status // eval for PNA TECHNIQUE: Chest: Frontal and Lateral COMPARISON: ___ | Again seen small left pleural effusion with overlying atelectasis. Stable postoperative changes. |
13680126 | Right-sided prepectoral Port-A-Cath in situ with the tip at the cavoatrial junction. No airspace consolidation. Bilateral upper lobe emphysematous changes are stable No pulmonary edema. The cardiomediastinal shadow is unchanged. | 56751669 | INDICATION: ___ year old man with occluded port. Needs assessment. // Please assess port TECHNIQUE: Chest PA and lateral COMPARISON: ___ | Right sided prepectoral Port-A-Cath in situ in the appropriate anatomic position. |
13680126 | Right chest wall Port-A-Cath is again noted. Postoperative changes are noted with surgical clips at the left hilum. Left lung is grossly clear. There are new regions of consolidation in the right lung, one linear region projecting over the right upper lobe, potentially in part atelectasis. More patchy region of consolidation projecting more inferiorly over the right lung, likely within the middle lobe based on the lateral view. There is no effusion. Chronic changes of the left lateral ribs are again noted. Surgical clips seen in the upper abdomen. | 57967302 | INDICATION: ___M with metastatic stage 4 lung Ca, on chemo, with increasing chest pain and cough // ?PNA TECHNIQUE: Frontal and lateral views of the chest. COMPARISON: ___. | New regions of the consolidation in the right lung which could represent infection in the proper clinical setting. Followup suggested after treatment. |
13722793 | Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta re- demonstrated. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. | 50662525 | HISTORY: Chest pain. History of diabetes. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary abnormality. |
13649911 | There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. Recurrent patchy opacification is seen within the right lower lobe, compatible with waxing and waning atelectasis. Stable moderate cardiomegaly is again noted. The mediastinal contours are normal. There has been interval removal of a right-sided subclavian central venous catheter. A nasogastric tube is seen coursing into the stomach and out of view of the radiograph. | 54609314 | HISTORY: Fever and leukocytosis, evaluate for infectious source. TECHNIQUE: Single, AP, portable view of the chest. COMPARISON: Comparison is made to chest radiographs dated ___. | Recurrent right lower lobe patchy airspace opacity, suggestive of waxing and waning atelectasis. However, infection is not excluded and, if clinically indicated, short-term follow-up radiographs may be helpful to reassess. |
13649911 | AP upright portable chest radiograph was provided. The endotracheal tube is positioned low with its tip at the carina. Retraction by at least 3 cm is advised. The NG tube courses inferiorly into the upper abdomen, though the tip is excluded from view. The heart is mildly enlarged. Perihilar opacities could represent bronchovascular crowding. No consolidation or effusion/pneumothorax. Bony structures are intact. | 54986005 | WET READ: ___ ___ ___ 4:59 PM Low lying endotracheal tube, the tip at the carina. Please retract by ___ centimeters. NG tube extends to the upper abdomen though tip not visualized. ______________________________________________________________________________ FINAL REPORT PORTABLE CHEST RADIOGRAPH PERFORMED ON ___ COMPARISON: None. CLINICAL HISTORY: ___-year-old man with stroke, intubated, assess ET tube position. | Low-lying ET tube which requires retraction by at least 2-3 cm for more optimal positioning. Findings were posted and flagged to the ED dashboard at the time of this dictation. |
13649911 | Single frontal view of the chest. Heart size and cardiomediastinal contours are stable. Residual bilateral, left greater than right, basilar atelectasis is unchanged. No new focal consolidation, pleural effusion, or pneumothorax. NG tube passes below the diaphragm and terminates beyond the limits of the film. | 53224509 | HISTORY: Status post right craniectomy with pleural effusion. COMPARISON: ___. | Mild residual bibasilar atelectasis. |
13649911 | Frontal and lateral radiographs of the chest demonstrate low lung volumes with resulting bronchovascular crowding. The cardiomediastinal and hilar contours are unchanged. The heart is top normal in size. There is no pleural effusion, pneumothorax, or consolidation. | 58131647 | HISTORY: Altered mental status. Evaluate for infection. COMPARISON: Multiple prior radiographs of the chest dated ___ through ___. | No acute cardiopulmonary process. |
13649911 | Portable semi-upright AP radiograph of the chest. The lung volumes are low. There is some blunting of the left costophrenic sulcus likely in the setting of atelectasis and small pleural effusion. The heart size is exaggerated by AP technique and is most likely top normal, stable. There is no pneumothorax. No new airspace opacity is seen to suggest pneumonia. There is crowding of central pulmonary vasculature, but no frank pulmonary edema. | 54583221 | INDICATION: Altered mental status, rule out infiltrate. COMPARISON: Chest radiographs ___, ___, ___. | Low lung volumes with atelectasis and small pleural effusion at the left base but no convincing evidence of pneumonia. |
13979643 | There is mild pulmonary vascular congestion. A subtle ill-defined opacity in the right upper lung may reflect overlapping shadows, though an underlying parenchymal process may be present. Follow-up radiographs are recommended to assess for interval change. Linear scarring within the right mid lung is unchanged from prior. Linear opacities within the bilateral lung bases likely reflect areas of subsegmental atelectasis. There is stable mild elevation of the left hemidiaphragm, unchanged from prior. The thoracic aorta is tortuous. Cardiomediastinal and hilar contours are within normal limits. | 54753684 | HISTORY: ___-year-old male with nausea and vomiting. Assess for infectious process. COMPARISON: Chest radiograph from ___ AP AND LATERAL CHEST | Mild pulmonary vascular congestion. Subtle opacity in the right upper lung, possibly representing a confluence of shadows, but follow-up radiographs are recommended to assess for interval change. |
13979643 | A single portable frontal chest radiograph was obtained. The tip of a nasogastric tube terminates in the upper esophagus. Lung volumes are low, accentuating the central pulmonary vasculature. Small amount of fluid or thickening of the right minor fissure is unchanged. There is no new consolidation, effusion, or pneumothorax. There is a moderate amount of air in the stomach. | 57913072 | INDICATION: ___-year-old man with new NG tube. COMPARISON: ___ p.m. | Nasogastric tube tip in the proximal esophagus. The tube should be removed and placement re-attempted. Findings were discussed with Dr. ___ ___ after discovery of the findings at ___ on ___. |
13979643 | There has been interval placement of a nasogastric tube with its side port below the GE junction. The left-sided PICC tip terminates at the mid to upper SVC. Otherwise, the heart size is unchanged, and there is bibasilar atelectasis. No large pleural effusion or pneumothorax is present. | 52325695 | HISTORY: ___-year-old male with nasogastric tube placement. STUDY: Portal AP upright chest radiograph. COMPARISON: ___. | Appropriate positioning of endogastric tube. |
13979643 | There are low lung volumes. The heart size is normal. The aorta remains tortuous. There is crowding of the bronchovascular structures, but no overt pulmonary edema. Linear opacities at the lung bases likely reflect atelectasis. Possible trace left pleural effusion is present. No pneumothorax. No free air under the diaphragms. There is gaseous distention of the stomach. | 53102363 | INDICATION: Distended abdomen. COMPARISON: ___. UPRIGHT AP VIEW OF THE | No free air under the diaphragms. Low lung volumes with bibasilar atelectasis. Probable small left pleural effusion. |
13979643 | There are low lung volumes. The heart size is mildly enlarged. The aorta is unfolded. There is mild pulmonary vascular congestion, with small amount of fluid seen within the fissures. Additionally, patchy opacities in the lung bases likely reflect atelectasis. A small left pleural effusion is relatively unchanged compared to prior. No new areas of focal consolidation are present. There is no pneumothorax. | 52481248 | INDICATION: Elevated lactate with chest pain. COMPARISON: ___. PA AND LATERAL VIEWS OF THE | Mild pulmonary vascular congestion and small left pleural effusion. Mild bibasilar atelectasis. |
13400696 | There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. | 57185723 | EXAMINATION: CHEST (PA AND LAT) INDICATION: History: ___F with syncope // r/o cardiomegaly, occult process TECHNIQUE: Chest PA and lateral COMPARISON: None. | No acute cardiopulmonary process. |
13366982 | Focal linear atelectasis in the periphery of the left mid and lower lung. Lungs are otherwise clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. | 53381532 | EXAMINATION: Portable chest radiograph INDICATION: ___ year old woman with ams, leukocytosis, cough // eval pna TECHNIQUE: Portable chest COMPARISON: ___ chest radiograph | No evidence of pneumonia. |
13366982 | The endotracheal tube is in satisfactory position 3.5 cm from the carina. An enteric tube courses below the diaphragm with the tip out of field of view. An esophageal temperature probe is present with the tip in the mid esophagus. A right subclavian central venous catheter is present with the tip in the mid SVC. The left central venous catheter has been removed. Since prior exam, the lung volumes are lower. There is a linear opacity at the right base which likely represents atelectasis. No other opacity is identified. There is no pulmonary edema, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. | 51347667 | WET READ: ___ ___ 6:20 PM Left sub clavian catheter removed, otherwise stable positioning of tubes and lines. Right basilary linear opacity likely represents atelectasis; although infection is possible. WET READ VERSION #1 ______________________________________________________________________________ FINAL REPORT INDICATION: Large subarachnoid hemorrhage. New fevers. Evaluate for pneumonia. COMPARISONS: Chest radiograph from ___. TECHNIQUE: A single semi-upright AP view of the chest was obtained. | New right basilar atelectasis. No definite evidence of pneumonia. |
13366982 | There is an endotracheal tube in the expected position, terminating 4.1 cm above the level of the carina. A focal airspace opacity at the right lung base and may reflect atelectasis versus aspiration. There is no evidence of pleural effusion, pneumothorax, or overt pulmonary edema. The cardiomediastinal silhouette is normal. An orogastric tube is seen terminating within the stomach. No acute bony abnormality is detected. | 50359834 | HISTORY: Spontaneous SAH, status post ET tube placement. TECHNIQUE: Single, AP, portable view of the chest. COMPARISON: None. | ETT terminating 4.1 cm above the carina. Right lower lobe airspace opacity, likely atelectasis versus aspiration. |
13366982 | An endotracheal tube, enteric tube and right subclavian central venous catheter are unchanged in position. The lung volumes remain low. There is mild right basilar atelectasis, but no focal consolidation concerning for pneumonia. No large pleural effusion or pneumothorax is appreciated. The cardiac silhouette remains enlarged but unchanged. The mediastinal contours are within normal limits. | 52303079 | INDICATION: Fever. COMPARISON: ___. TECHNIQUE: Portable semi-erect frontal radiograph of the chest. | Low lung volumes and right basilar atelectasis. |
13993120 | The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion, pneumothorax, or focal consolidation is demonstrated. Comminuted fracture of the right distal clavicle is present. | 51201489 | HISTORY: Fall onto right shoulder with pain, syncope. TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | Comminuted right distal clavicular fracture. No acute cardiopulmonary process. |
13036184 | Compared to prior exam less than 6 hr ago, there is significant increase in size of the right pleural effusion. The right-sided chest tube is in a similar position with an approximate ___ degree bend/kink. Cardiomediastinum is midline. No pneumothorax. | 56803183 | WET READ: ___ ___ ___ 1:40 AM MODERATE SIZED PLEURAL EFFUSION HAS INCREASED SINCE PRIOR EXAMINATION, GIVEN RAPID INTERVAL OF INCREASED AND PRIOR CONCERN FOR ACTIVE BLEEDING, FINDINGS RAISE CONCERN FOR POTENTIAL HEMOTHORAX. RIGHT-SIDED CHEST TUBE IS IN AN UNCHANGED POSITION WITH A ___ DEGREES ANGLE/KINK. SUBCUTANEOUS EMPHYSEMA IS SLIGHTLY IMPROVED. PULMONARY VASCULAR CONGESTION IS WORSE. DISCUSSED WITH DR ___ BY NSR ON ___ AT 140 AM WET READ VERSION #1 ___ ___ ___ 1:37 AM MODERATE SIZED PLEURAL EFFUSION HAS INCREASED SINCE PRIOR EXAMINATION, GIVEN RAPID INTERVAL OF INCREASED, RAISES CONCERN FOR POTENTIAL BLEEDING. . RIGHT-SIDED CHEST TUBE IN AN UNCHANGED POSITION WITH BEING SOMEWHAT ___ DEGREES ANGLE AT HERNIA. DUODENUM IS SEEN ON THE SLIGHTLY IMPROVED. NO PNEUMOTHORAX. A MODERATE CONGESTION APPEARS WORSE. ______________________________________________________________________________ FINAL REPORT EXAMINATION: CHEST (PORTABLE AP) INDICATION: ___ year old woman with right rib fractures and chest tube putting out blood. // Interval change? Accumulated blood? COMPARISON: Chest radiographs fromearlier the same day | Significant increase in size of the right pleural effusion. |
13036184 | A chest tube has been advanced somewhat and projects over the right hemithorax appropriately. There is an abrupt turn at the side hole marker. This examination depicts a trace pleural effusion on the right, but a small pneumothorax is no longer apparent. A small quantity of subcutaneous emphysema is noted. The left lung remains clear. The cardiac, mediastinal and hilar contours appear stable. | 55560945 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Right-sided chest tube placement for pneumothorax. COMPARISON: Earlier on the same day. TECHNIQUE: Chest, supine AP portable. | Small pleural effusion which was not apparent on the most recent prior examination none with the same technique. This appearance could represent some accumulating pleural effusion noting the setting of recent active bleeding although it is possibly due to repositioning of fluid. |
13036184 | On the right, there has been interval placement of a chest tube projecting over the right hemithorax. There is a new small quantity of subcutaneous emphysema associated with tube placement and a small pneumothorax. Vague opacity in the left upper the right upper lung is more suggestive of atelectasis than a substantial effusion. The right-sided effusion is probably still fairly small at most and may have been evacuated. The left lung remains clear. The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear stable. | 52788870 | EXAMINATION: CHEST RADIOGRAPH INDICATION: Active extravasation and hemothorax on the right status post chest tube placement. TECHNIQUE: Chest, portable AP supine. COMPARISON: CT from earlier on the same day. | Status post right-sided chest tube placement. Small pneumothorax and subcutaneous emphysema, although not necessarily unanticipated following recent instrumentation. Short-term follow-up radiography is suggested. No definite pleural effusion identified but technique may be limited for assessing small effusions. |
13036184 | As compared to the prior examination, there has been interval removal of a right internal jugular central venous line. A left IJ hemodialysis catheter is unchanged in position. There is a new retrocardiac, left lower lobe opacity obscuring the left hemidiaphragm. A left small pleural effusion is stable. The patient is status post sternotomy, and the cardiomediastinal silhouette is stable. | 52699513 | EXAMINATION: Chest radiograph. INDICATION: ___ year old woman with angina // ?interval changes TECHNIQUE: Single, AP, portable view of the chest. COMPARISON: Comparison is made to ___. | New, left retrocardiac opacity may reflect atelectasis or pneumonia, in the appropriate clinical setting. |
13208527 | The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. | 53255780 | INDICATION: History of cough, exposure to pneumonia, immunosuppressed. Rule out pneumonia. COMPARISON: Chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs were provided. | No acute cardiopulmonary process. |
13208527 | The cardiomediastinal and hilar contour are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. No evidence of free intra-abdominal air. | 52152068 | HISTORY: Abdominal pain status post colonoscopy. Question free air under diaphragm. COMPARISON: Prior chest radiograph from ___. TECHNIQUE: PA and lateral chest radiographs. | No acute cardiopulmonary process. No evidence of free intra-abdominal air. |
13620809 | The lungs are clear. There is no pleural effusion, pneumothorax or consolidation. The heart size is normal. | 50140504 | INDICATION: Cough and chest pain with decreased breath sounds, rule out pneumonia or pneumothorax. COMPARISON: None. PA AND LATERAL VIEWS OF THE | No acute cardiopulmonary process. |
13813490 | The lungs are clear besides calcified granuloma at the right lung base which is unchanged. The cardiomediastinal silhouette is within normal limits. Slightly tortuous descending thoracic aorta is noted with atherosclerotic calcifications at the arch. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy. | 54578416 | INDICATION: ___F with HTN, new onset bigeminy w/ bradycardia. please eval heart size, lung fields. // cardiomegaly? TECHNIQUE: PA and lateral views of the chest. COMPARISON: ___. | No acute cardiopulmonary process. |
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